CANNON BEACH SPA INC
NPI 1134383920
Clinic/Center - Physical Therapy in Cannon Beach, OR

NPI Status: Active since July 11, 2008

Contact Information

232 N SPRUCE ST
CANNON BEACH, OR
ZIP 97110
Phone: (503) 436-8772

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 38D2052878
  • CLIA Cert. Type: Other - RFPD
  • CLIA Exp. Date: 01-21-2027

About CANNON BEACH SPA INC

This page provides the complete NPI Profile along with additional information for Cannon Beach Spa Inc, a provider established in Cannon Beach, Oregon operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1134383920 assigned on July 2008. The practitioner's primary taxonomy code is 261QP2000X with license number 1458 (OR). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Timothy J Krupa Dc (Owner)

NPI
1134383920
Provider Name
CANNON BEACH SPA INC
Entity Type
Organization
Location Address
232 N SPRUCE ST CANNON BEACH, OR 97110
Location Phone
(503) 436-8772
Mailing Address
PO BOX 953 CANNON BEACH, OR 97110
Mailing Phone
(503) 436-8772
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2008
Last Update Date
07-11-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
1458
License State
OR
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TIMOTHY J KRUPA DC

Authorized Official Title
OWNER
Authorized Official Phone
(503) 436-8772

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2052878
Facility Type
Other - RFPD
Certificate Effective Date
January 22, 2025
Certificate Expiration Date
January 21, 2027
Laboratory Director
MARC RECKMANN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cannon Beach Spa Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CANNON BEACH SPA INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134383920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216468694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 6 + 8 + 6 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134383920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134383920, enumerated in the NPI registry as an "organization" on July 11, 2008

The provider is located at 232 N Spruce St Cannon Beach, Or 97110 and the phone number is (503) 436-8772

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider's CLIA number is 38D2052878 for a "other - rfpd" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 11, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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