DR. PAUL ANTON ERNANDES JR. PT
NPI 1235647413
Physical Therapist in Spring Hill, FL


Quality Rating: 98.97 out of 100 score

NPI Status: Active since January 22, 2018

Contact Information

465 MARINER BLVD
SPRING HILL, FL
ZIP 34609
Phone: (352) 688-8066
Fax: (352) 688-8540

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  • Individual
  • Male
  • Physical Therapist

About PAUL ERNANDES

This page provides the complete NPI Profile along with additional information for Paul Ernandes, a provider established in Spring Hill, Florida with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1235647413 assigned on January 2018. The practitioner's primary taxonomy code is 225100000X with license number PT6556 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1235647413
Provider Name
DR. PAUL ANTON ERNANDES JR. PT
Gender
Male
Entity Type
Individual
Location Address
465 MARINER BLVD SPRING HILL, FL 34609
Location Phone
(352) 688-8066
Location Fax
(352) 688-8540
Mailing Address
15468 DURANGO CIR BROOKSVILLE, FL 34604
Mailing Phone
(352) 586-5311
Mailing Fax
(352) 688-8540
Is Sole Proprietor?
Yes
Enumeration Date
01-22-2018
Last Update Date
04-27-2018
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Location Map

Secondary Locations

  • 8466 Northcliffe Blvd
    Spring Hill, FL 34606
    (352) 666-2222

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.
PT6556
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.
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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.97, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 98.97 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 95

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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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.
1235647413
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651241442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 2 + 4 + 1 + 4 + 4 + 2 + 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 1235647413 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588641211MR. CHARLES C DONLEY P.T.
Individual
Physical Therapist465 MARINER BLVD
SPRING HILL, FL 34609
(352) 688-8066
1740239375PHYSICAL THERAPY CONSULTANTS INC
Organization
Physical Therapist465 MARINER BLVD
SPRING HILL, FL 34609
(352) 688-8066
1013089077MR. MAKAINDIG R RELAMPAGOS PT
Individual
Physical Therapist465 MARINER BLVD
SPRING HILL, FL 34609
(352) 688-8066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235647413, enumerated in the NPI registry as an "individual" on January 22, 2018

The provider is located at 465 Mariner Blvd Spring Hill, Fl 34609 and the phone number is (352) 688-8066

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

This NPI record was last updated on January 22, 2018. 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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