MR. JEFF GORDON FENTON PT
NPI 1164561569
Physical Medicine & Rehabilitation in Spokane, WA
NPI Status: Active since February 05, 2007
Contact Information
2507 E 27TH AVE
SPOKANE, WA
ZIP 99223
Phone: (509) 456-6917
Fax: (509) 456-5902
- Individual
- Male
- Years of Experience 35
- Physical Medicine & Rehabilitation
- Accepts Insurance
- Accepts Medicare Approved Payment
About JEFF FENTON
This page provides the complete NPI Profile along with additional information for Jeff Fenton, a provider established in Spokane, Washington with a medical specialization in Physical Medicine & Rehabilitation and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1164561569 assigned on February 2007. The practitioner's primary taxonomy code is 208100000X with license number 5460 (WA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1164561569
- Provider Name
- MR. JEFF GORDON FENTON PT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2507 E 27TH AVE SPOKANE, WA 99223
- Location Phone
- (509) 456-6917
- Location Fax
- (509) 456-5902
- Mailing Address
- 2507 E 27TH AVE SPOKANE, WA 99223
- Mailing Phone
- (509) 456-6917
- Mailing Fax
- (509) 456-5902
- Medical School Name
- OTHER
- Graduation Year
- 1991
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-05-2007
- Last Update Date
- 11-28-2012
- 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
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5460
- License State
- WA
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
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.
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 |
|---|---|---|---|
| AB22325 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 8332652 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Jeff Fenton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1759576507
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101106000063
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Application of blood vessel compression device
Application of mechanical traction
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
Evaluation for physical therapy, typically 20 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using manual technique, each 15 minutes
Therapy procedure using water pool to exercises, each 15 minutes
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
This service was performed 138 times for 14 patientsMechanical traction is a therapy method often used to alleviate back and neck pain. It involves a special machine that gently stretches your spine, reducing pressure on your discs and nerves. This process can help improve mobility, and relieve discomfort.
This service was performed 65 times for 13 patientsElectrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
This service was performed 367 times for 53 patientsAn evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
This service was performed 107 times for 95 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 66 times for 14 patientsThis therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
This service was performed 1,005 times for 108 patientsThis therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 1,389 times for 107 patientsThis therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
This service was performed 154 times for 13 patientsReviews for MR. JEFF GORDON FENTON PT
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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 | 6 | 4 | 5 | 6 | 1 | 5 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 10 | 6 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 0 + 6 + 2 + 5 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1164561569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306985700 | PHYSICAL THERAPY ASSOCIATES PS Organization | Physical Medicine & Rehabilitation | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1225097942 | CRAIG MICHAEL HENNEBERRY B.S., P.T., D.P.T. Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1780834168 | DR. JONATHAN CALEB HOOK DPT Individual | Physical Therapist (Orthopedic) | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1033416532 | MRS. MEG MARIE ESTES D.P.T Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1700204211 | KATIE NELSON Individual | Dietitian, Registered | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1649518804 | MS. ANJA GOETZINGER Individual | Specialist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1598107245 | KEVIN JAMES WRIGHT DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1629585831 | REBECCA LYNN FRITZ THOMPSON PT, DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1104965508 | MRS. STEPHANIE G OTA MSPT Individual | Physical Medicine & Rehabilitation | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1972096675 | DR. ELIZABETH ANN CHOMA DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1144716085 | EMILIE LYNNE LEHMAN WEST DPT Individual | Physical Medicine & Rehabilitation | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1235704495 | ANDREW M SCHIMMELS DPT Individual | Physical Therapist (Orthopedic) | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1871222844 | AMANDA ROSE SIMMONS PT, DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1366212078 | HENRY M SMALDON DPT Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
| 1174371892 | NICOLE WARREN Individual | Physical Therapist | 2507 E 27TH AVE SPOKANE, WA 99223 (509) 456-6917 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164561569, enumerated in the NPI registry as an "individual" on February 05, 2007
The provider is located at 2507 E 27th Ave Spokane, Wa 99223 and the phone number is (509) 456-6917
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider has more than 35 years of experience.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Application of blood vessel compression device, Application of mechanical traction, Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care, Evaluation for physical therapy, typically 20 minutes, Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapy procedure using manual technique, each 15 minutes and Therapy procedure using water pool to exercises, each 15 minutes.
This NPI record was last updated on February 05, 2007. 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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