MADISON PARK HEALTHCARE
NPI 1194180489
Physical Therapist in Huntington, WV

NPI Status: Active since December 31, 2015

Contact Information

700 MADISON AVE
HUNTINGTON, WV
ZIP 25704
Phone: (304) 552-0032
Fax: (304) 522-1481

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  • Organization
  • Physical Therapist

About MADISON PARK HEALTHCARE

This page provides the complete NPI Profile along with additional information for Madison Park Healthcare, a provider established in Huntington, West Virginia operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1194180489 assigned on December 2015. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Madison Park Healthcare 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 Madison Park Healthcare. The authorized official of this NPI record is Mr. Isaac S Dole (Manager)

NPI
1194180489
Provider Legal Name
FAIRHAVEN OPCO, LLC
Other Organization Name
MADISON PARK HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
700 MADISON AVE HUNTINGTON, WV 25704
Location Phone
(304) 552-0032
Location Fax
(304) 522-1481
Mailing Address
121 S WATER AVE GALLATIN, TN 37066
Mailing Phone
(423) 290-2837
Mailing Fax
(304) 522-1481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2015
Last Update Date
12-31-2015
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

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.

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. ISAAC S DOLE

Authorized Official Title
MANAGER
Authorized Official Phone
(312) 724-8950

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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.
1194180489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184280416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 2 + 8 + 0 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1194180489 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962594630FAIRHAVEN REST HOME, INC
Organization
Skilled Nursing Facility700 MADISON AVE
HUNTINGTON, WV 25704
(304) 522-0032
1295111565FAIRHAVEN OPCO, LLC
Organization
Nursing Facility/Intermediate Care Facility700 MADISON AVE
HUNTINGTON, WV 25704
(304) 552-0032
1265890610 ADAM FORREST OTR/L
Individual
Occupational Therapist700 MADISON AVE
HUNTINGTON, WV 25704
(304) 522-0032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194180489, enumerated in the NPI registry as an "organization" on December 31, 2015

The provider is located at 700 Madison Ave Huntington, Wv 25704 and the phone number is (304) 552-0032

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on December 31, 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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