CUSTOM REHAB LLC
NPI 1215204862
Physical Therapist in Chubbuck, ID

NPI Status: Active since November 28, 2011

Contact Information

265 E CHUBBUCK RD
CHUBBUCK, ID
ZIP 83202
Phone: (208) 244-1882

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  • Organization
  • Physical Therapist
  • Accepts Insurance

About CUSTOM REHAB LLC

This page provides the complete NPI Profile along with additional information for Custom Rehab Llc, a provider established in Chubbuck, Idaho operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1215204862 assigned on November 2011. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Custom Rehab Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jared L Mckee Pt (Owner)

NPI
1215204862
Provider Name
CUSTOM REHAB LLC
Entity Type
Organization
Location Address
265 E CHUBBUCK RD CHUBBUCK, ID 83202
Location Phone
(208) 244-1882
Mailing Address
857 SHEBA RD CHUBBUCK, ID 83202
Mailing Phone
(208) 244-1882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2011
Last Update Date
11-30-2011
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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.

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.

Insurance Plans Accepted

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

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*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

JARED L MCKEE PT

Authorized Official Title
OWNER
Authorized Official Phone
(208) 244-1882

Reviews for CUSTOM REHAB LLC

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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.
1215204862
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225408812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 0 + 8 + 8 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1215204862 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053707646 JADE LETOURNEAU LPC
Individual
Counselor (Professional)265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1154780278CENTER COUNSELING
Organization
Counselor265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1427471754 RENEE HOWELLS
Individual
Counselor (Mental Health)265 E CHUBBUCK RD STE A
CHUBBUCK, ID 83202
(208) 237-1711
1427401389 BARBARA KRICHBAUM L.P.C.
Individual
Counselor (Mental Health)265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1205371614 ELISABETH CLONTS
Individual
Counselor (Mental Health)265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1679112502CENTER COUNSELING, LLC
Organization
Community/Behavioral Health265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1376182204CENTER COUNSELING, LLC
Organization
Case Management265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1700425600CENTER COUNSELING, LLC
Organization
Peer Specialist265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1679107296CENTER COUNSELING, LLC
Organization
Specialist265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1083238877 ASHLYNN HAYDEN OBORN LMSW
Individual
Social Worker265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1962082594 CHARLIE N HANSEN LPC
Individual
Counselor (Professional)265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1215605225 CASSIE SNELL LMSW
Individual
Social Worker265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1548927379 JAN FISHER CLARK LPC
Individual
Counselor (Professional)265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1528503083 RUSSELL TAYLOR FARNSWORTH DPT
Individual
Physical Therapist265 E CHUBBUCK RD STE A
CHUBBUCK, ID 83202
(208) 417-0011
1265161442 JILL M STEWART LMSW
Individual
Social Worker265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1861131492 WHITNEY BARNEY LMSW
Individual
Social Worker265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1841901303 ALICIA JO CARRILLO LMSW
Individual
Social Worker265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1568149730 MADELINE B PAUL LMSW
Individual
Social Worker265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711
1063546174 JOANNE MARIE TRAMMEL OT
Individual
Occupational Therapist265 E CHUBBUCK RD STE A
CHUBBUCK, ID 83202
(208) 417-0011
1689423121 LISA K LARSEN LMSW
Individual
Social Worker265 E CHUBBUCK RD
CHUBBUCK, ID 83202
(208) 237-1711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215204862, enumerated in the NPI registry as an "organization" on November 28, 2011

The provider is located at 265 E Chubbuck Rd Chubbuck, Id 83202 and the phone number is (208) 244-1882

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

The provider might be accepting Accepts: Mountain Health CO-OP. 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 November 28, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.