PACIFIC NORTHWEST PHYSICAL THERAPY
NPI 1134506454
Clinic/Center - Physical Therapy in Crescent City, CA

NPI Status: Active since May 06, 2015

Contact Information

225 I ST
CRESCENT CITY, CA
ZIP 95531
Phone: (707) 464-9511
Fax: (707) 464-9513

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  • Organization
  • Clinic/Center
  • Physical Therapy

About PACIFIC NORTHWEST PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Pacific Northwest Physical Therapy, a provider established in Crescent City, California operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1134506454 assigned on May 2015. The practitioner's primary taxonomy code is 261QP2000X with license number 23616 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Bradley Kime Pt,ocs,cmpt (Owner)

NPI
1134506454
Provider Name
PACIFIC NORTHWEST PHYSICAL THERAPY
Entity Type
Organization
Location Address
225 I ST CRESCENT CITY, CA 95531
Location Phone
(707) 464-9511
Location Fax
(707) 464-9513
Mailing Address
225 I ST CRESCENT CITY, CA 95531
Mailing Phone
(707) 464-9511
Mailing Fax
(707) 464-9513
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2015
Last Update Date
05-06-2015
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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.
23616
License State
CA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. BRADLEY KIME PT,OCS,CMPT

Authorized Official Title
OWNER
Authorized Official Phone
(707) 464-9511

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GO803AMEDICARE UPIN (02)CA 

Reviews for PACIFIC NORTHWEST PHYSICAL THERAPY

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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.
1134506454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216410012410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 0 + 1 + 2 + 4 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1134506454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316921596 BRADLEY KIME OCS
Individual
Physical Therapist225 I ST
CRESCENT CITY, CA 95531
(707) 464-9511
1083131460DR. KRISTI ANN EDGAR PT, DPT
Individual
Physical Therapist225 I ST
CRESCENT CITY, CA 95531
(707) 464-9511
1720712706 COLLIN MICHAEL TAYLOR PT
Individual
Physical Therapist225 I ST
CRESCENT CITY, CA 95531
(707) 464-9511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134506454, enumerated in the NPI registry as an "organization" on May 06, 2015

The provider is located at 225 I St Crescent City, Ca 95531 and the phone number is (707) 464-9511

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 06, 2015. 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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