CHANGE SPORTS PHYSICAL THERAPY INSTITUTE
NPI 1164752473
Physical Therapist - Orthopedic in Anaheim, CA

NPI Status: Active since January 08, 2010

Contact Information

1500 S ANAHEIM BLVD
SUITE 140
ANAHEIM, CA
ZIP 92805
Phone: (714) 917-3558
Fax: (714) 917-3560

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  • Organization
  • Physical Therapist
  • Orthopedic

About CHANGE SPORTS PHYSICAL THERAPY INSTITUTE

This page provides the complete NPI Profile along with additional information for Change Sports Physical Therapy Institute, a provider established in Anaheim, California operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1164752473 assigned on January 2010. The practitioner's primary taxonomy code is 2251X0800X with license number 33345 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Matt Swift P.t. (President)

NPI
1164752473
Provider Name
CHANGE SPORTS PHYSICAL THERAPY INSTITUTE
Entity Type
Organization
Location Address
1500 S ANAHEIM BLVD SUITE 140 ANAHEIM, CA 92805
Location Phone
(714) 917-3558
Location Fax
(714) 917-3560
Mailing Address
1500 S ANAHEIM BLVD SUITE 140 ANAHEIM, CA 92805
Mailing Phone
(714) 917-3558
Mailing Fax
(714) 917-3560
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2010
Last Update Date
01-08-2010
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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

Physical Therapist Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
33345
License State
CA
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MATT SWIFT P.T.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 917-3558

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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.
1164752473
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211241454414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 4 + 4 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1164752473 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609944420 JILL MARIE WOSMEK MA, ATC
Individual
Specialist/Technologist (Athletic Trainer)1500 S ANAHEIM BLVD
ANAHEIM, CA 92805
(320) 237-5293
1205091956COMPETITIVE ATHLETE TRAINING ZONE OF BREA
Organization
Clinic/Center (Rehabilitation)1500 S ANAHEIM BLVD 140
ANAHEIM, CA 92805
(714) 917-3555
1477907517SOCAL THERAPY SERVICES LLC
Organization
Physical Medicine & Rehabilitation (Sports Medicine)1500 S ANAHEIM BLVD SUITE 160
ANAHEIM, CA 92805
(657) 999-5679
1376997411SOCAL MEDICAL SERVICES LLC
Organization
Physical Medicine & Rehabilitation (Sports Medicine)1500 S ANAHEIM BLVD SUITE 160
ANAHEIM, CA 92805
(657) 999-5679
1407200546SOCAL DIAGNOSTICS LLC
Organization
Physical Medicine & Rehabilitation (Sports Medicine)1500 S ANAHEIM BLVD SUITE 160
ANAHEIM, CA 92805
(657) 999-5679
1851844708REPAIR SPORTS INSTITUTE
Organization
Physical Therapist (Sports)1500 S ANAHEIM BLVD SUITE 160
ANAHEIM, CA 92805
(714) 377-4314
1134278757 MATT SWIFT PT
Individual
Physical Therapist1500 S ANAHEIM BLVD STE 130
ANAHEIM, CA 92805
(714) 917-3558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164752473, enumerated in the NPI registry as an "organization" on January 08, 2010

The provider is located at 1500 S Anaheim Blvd Suite 140 Anaheim, Ca 92805 and the phone number is (714) 917-3558

This medical organization specializes in Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic

This NPI record was last updated on January 08, 2010. 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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