ANDERSEN PHYSICAL THERAPY, INC
NPI 1225029630
Physical Therapist in Modesto, CA

NPI Status: Active since November 03, 2005

Contact Information

1917 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 549-4626
Fax: (209) 549-4625

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  • Organization
  • Physical Therapist

About ANDERSEN PHYSICAL THERAPY, INC

This page provides the complete NPI Profile along with additional information for Andersen Physical Therapy, Inc, a provider established in Modesto, California operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1225029630 assigned on November 2005. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Lyle Melvin Andersen Pt (Co Owner)

NPI
1225029630
Provider Name
ANDERSEN PHYSICAL THERAPY, INC
Entity Type
Organization
Location Address
1917 COFFEE RD MODESTO, CA 95355
Location Phone
(209) 549-4626
Location Fax
(209) 549-4625
Mailing Address
PO BOX 576276 MODESTO, CA 95357
Mailing Phone
(209) 549-4626
Mailing Fax
(209) 549-4625
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2005
Last Update Date
04-17-2017
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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 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

 
2261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

0134075 (CA)
3261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 

Insurance Plans Accepted

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

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.

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.

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

LYLE MELVIN ANDERSEN PT

Authorized Official Title
CO OWNER
Authorized Official Phone
(209) 549-4626

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
4185520001MEDICARE NSC (07)CA 
YYY48495YMEDICARE PIN (08)CA 
4185520002MEDICARE NSC (07) 
ZZZ20154ZMEDICARE PIN (08)CA 
4185520002MEDICARE NSC (07)CA 
YYY48495YMEDICARE PIN (08) 
YYY48495YOTHER (01)CABLUE SHIELD

Reviews for ANDERSEN PHYSICAL THERAPY, INC

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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.
1225029630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245021866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 0 + 2 + 1 + 8 + 6 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1225029630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265413918 LYLE MELVIN ANDERSEN PT
Individual
Physical Therapist1917 COFFEE RD
MODESTO, CA 95355
(209) 549-4626
1093860454 JOLENE L. ANDERSON O.T.
Individual
Occupational Therapist1917 COFFEE RD
MODESTO, CA 95355
(209) 549-4626
1225583487MR. TYLER TORRES PT, DPT
Individual
Physical Therapist1917 COFFEE RD
MODESTO, CA 95355
(209) 549-4626
1730781303MS. KELSEY LYNN MOONEY DPT
Individual
Physical Therapist1917 COFFEE RD
MODESTO, CA 95355
(209) 549-4626
1598412454 SHARIE L INIGUEZ OT/L
Individual
Occupational Therapist1917 COFFEE RD
MODESTO, CA 95355
(209) 549-4626
1144746447MR. NICHOLAS ALEXANDER CLAY PT, DPT
Individual
Physical Therapist1917 COFFEE RD
MODESTO, CA 95355
(209) 549-4626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225029630, enumerated in the NPI registry as an "organization" on November 03, 2005

The provider is located at 1917 Coffee Rd Modesto, Ca 95355 and the phone number is (209) 549-4626

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

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 03, 2005. 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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