SOUTHERN ORTHOPEDIC SPECIALISTS PA
NPI 1235396417
Physical Therapist in Panama City, FL
NPI Status: Active since May 16, 2008
Contact Information
1827 HARRISON AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 872-7022
Fax: (850) 872-7021
- Organization
- Physical Therapist
- CLIA Number: 10D0989156
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-18-2025
About SOUTHERN ORTHOPEDIC SPECIALISTS PA
This page provides the complete NPI Profile along with additional information for Southern Orthopedic Specialists Pa, a provider established in Panama City, Florida operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1235396417 assigned on May 2008. The practitioner's primary taxonomy code is 225100000X with license number PT19943 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. Southern Orthopedic Specialists Pa 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 Rebecca Carreira (Cfo)
- NPI
- 1235396417
- Provider Name
- SOUTHERN ORTHOPEDIC SPECIALISTS PA
- Entity Type
- Organization
- Location Address
- 1827 HARRISON AVE PANAMA CITY, FL 32405
- Location Phone
- (850) 872-7022
- Location Fax
- (850) 872-7021
- Mailing Address
- 1827 HARRISON AVE PANAMA CITY, FL 32405
- Mailing Phone
- (850) 872-7022
- Mailing Fax
- (850) 872-7021
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2008
- Last Update Date
- 05-21-2014
- 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 Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT19943
- License State
- FL
- 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.
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) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | PT19663 (FL) |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | OT10791 (FL) |
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:
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.
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 |
|---|---|---|---|
| Y901U | OTHER (01) | FL | BCBS FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0989156
- Facility Type
- Physician Office
- Certificate Effective Date
- July 19, 2023
- Certificate Expiration Date
- July 18, 2025
- Laboratory Director
- MICHAEL C. NOBLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Orthopedic Specialists Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 2 | 3 | 5 | 3 | 9 | 6 | 4 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 9 | 12 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 9 + 1 + 2 + 4 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1235396417 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1982600698 | MR. NELSON WAYNE SANDERS PT Individual | Physical Therapist | 1827 HARRISON AVE UNIT 4 PANAMA CITY, FL 32405 (850) 872-7022 |
| 1407892938 | SOUTHERN ORTHOPEDIC SPECIALISTS P A Organization | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1164450037 | JOSEPH PATRICK GRACE M.D. Individual | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 769-3574 |
| 1780613166 | THOMAS C MITCHELL M.D. Individual | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-3799 |
| 1598794976 | MICHAEL C NOBLE M.D. Individual | Family Medicine (Sports Medicine) | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-6397 |
| 1356374102 | DONALD R LOURCEY PA-C Individual | Physician Assistant | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-0095 |
| 1285851907 | DR. MARK NGU AWANTANG M.D. Individual | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 522-4263 |
| 1053524330 | TRACEY HIXSON R Individual | Radiologic Technologist | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1619137841 | LORRAINE SOUDER BERNHARDT O.T. Individual | Occupational Therapist (Hand) | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 872-7022 |
| 1699040444 | KAVITA IYENGAR MD Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1720077670 | DR. BRENDA SUE CLEMENTS DPT, MTC Individual | Physical Therapist | 1827 HARRISON AVE BUILDING 4 PANAMA CITY, FL 32405 (850) 872-7022 |
| 1053716886 | JUSTINE LEONA HAMER ATC Individual | Specialist/Technologist (Athletic Trainer) | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 763-3800 |
| 1942743349 | MONICA SEAL DPT Individual | Physical Therapist | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1104987114 | JOHN R COTTON M.D. Individual | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1578011284 | JENNIFER MEAUX PA-C Individual | Physician Assistant | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1457341604 | MRS. REBECCA ALLEN SNOW OTR L Individual | Occupational Therapist | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 872-7022 |
| 1346528437 | DR. NICHOLAS W CROSSMAN D.O. Individual | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1811925563 | JOSEPH P. GRACE, MD, PA Organization | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 769-3574 |
| 1336751585 | MARTA MAUNEY SALTER NP-C Individual | Nurse Practitioner | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
| 1255001350 | ORTHOPAEDIC ASSOCIATES PA Organization | Orthopaedic Surgery | 1827 HARRISON AVE PANAMA CITY, FL 32405 (850) 785-4344 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235396417, enumerated in the NPI registry as an "organization" on May 16, 2008
The provider is located at 1827 Harrison Ave Panama City, Fl 32405 and the phone number is (850) 872-7022
This medical organization specializes in Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D0989156 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 16, 2008. 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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