MEDSTAR HEALTH PHYSICAL THERAPY AT LAFAYETTE CENTRE
NPI 1134725476
Clinic/Center - Rehabilitation in Washington, DC
NPI Status: Active since December 10, 2020
Contact Information
1120 20TH ST NW STE 116
WASHINGTON, DC
ZIP 20036
Phone: (202) 416-2010
- Organization
- Clinic/Center
- Rehabilitation
- CLIA Number: 09D2283361
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-05-2025
About MEDSTAR HEALTH PHYSICAL THERAPY AT LAFAYETTE CENTRE
This page provides the complete NPI Profile along with additional information for Medstar Health Physical Therapy At Lafayette Centre, a provider established in Washington, District Of Columbia operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1134725476 assigned on December 2020. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Medstar Health Physical Therapy At Lafayette Centre operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medstar Health Physical Therapy At Lafayette Centre. The authorized official of this NPI record is John Rockwood (President)
- NPI
- 1134725476
- Provider Legal Name
- NATIONAL REHABILITATION HOSPITAL, INC.
- Other Organization Name
- MEDSTAR HEALTH PHYSICAL THERAPY AT LAFAYETTE CENTRE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1120 20TH ST NW STE 116 WASHINGTON, DC 20036
- Location Phone
- (202) 416-2010
- Mailing Address
- 102 IRVING ST NW ATTN: MHPT PAYOR ENROLLMENT WASHINGTON, DC 20010
- Mailing Phone
- (301) 540-6140
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-10-2020
- Last Update Date
- 01-11-2024
- Code Navigator
Location Map
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 Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 09D2283361
- Facility Type
- Physician Office
- Certificate Effective Date
- June 06, 2023
- Certificate Expiration Date
- June 05, 2025
- Laboratory Director
- DR. KRISTEN RUSSOMANNO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Medstar Health Physical Therapy At Lafayette Centre in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 1 | 3 | 4 | 7 | 2 | 5 | 4 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 14 | 2 | 10 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 4 + 2 + 1 + 0 + 4 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1134725476 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518473313 | SAMUEL COLIN WATKINS Individual | Student in an Organized Health Care Education/Training Program | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (202) 416-2110 |
| 1619480829 | DR. MEREDITH HARRIS PT, DPT Individual | Physical Therapist | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (202) 416-2110 |
| 1194293548 | JASON LEE Individual | Physical Therapy Assistant | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (202) 416-2110 |
| 1194480913 | KRISTEN LEE SCOTT Individual | Student in an Organized Health Care Education/Training Program | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (202) 416-2110 |
| 1053680314 | MIRIAM E BOVICH PT Individual | Physical Therapist (Sports) | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (202) 416-2110 |
| 1285181792 | BRYAN BAKER DPT Individual | Physical Therapist | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (202) 416-2110 |
| 1326504846 | BREANNA KENNEY PT, DPT, ATC Individual | Physical Therapist | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (314) 852-7798 |
| 1700510104 | DARELL SPRINGER DPT Individual | Physical Therapist | 1120 20TH ST NW STE 116 WASHINGTON, DC 20036 (240) 825-2561 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134725476, enumerated in the NPI registry as an "organization" on December 10, 2020
The provider is located at 1120 20th St Nw Ste 116 Washington, Dc 20036 and the phone number is (202) 416-2010
This medical organization specializes in Clinic/Center with taxonomy code 261QR0400X with a focus in Rehabilitation
The provider's CLIA number is 09D2283361 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on December 10, 2020. 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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