OLYMPIC PHYSICAL MEDICINE
NPI 1255369963
Physical Therapist - Sports in Stoneham, MA
NPI Status: Active since June 29, 2006
Contact Information
200 MAIN STREET
111
STONEHAM, MA
ZIP 02180
Phone: (617) 666-8800
Fax: (617) 666-4488
- Organization
- Physical Therapist
- Sports
About OLYMPIC PHYSICAL MEDICINE
This page provides the complete NPI Profile along with additional information for Olympic Physical Medicine, a provider established in Stoneham, Massachusetts operating as a Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1255369963 assigned on June 2006. The practitioner's primary taxonomy code is 2251S0007X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Olympic Physical Medicine 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 Mr. Douglas E White Mspt, Latc, Cscs (President)
- NPI
- 1255369963
- Provider Name
- OLYMPIC PHYSICAL MEDICINE
- Entity Type
- Organization
- Location Address
- 200 MAIN STREET 111 STONEHAM, MA 02180
- Location Phone
- (617) 666-8800
- Location Fax
- (617) 666-4488
- Mailing Address
- 200 MAIN STREET 111 STONEHAM, MA 02180
- Mailing Phone
- (617) 666-8800
- Mailing Fax
- (617) 666-4488
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2006
- Last Update Date
- 04-20-2008
- 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 Sports
- Taxonomy Code
- 2251S0007X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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 | |
| 2 | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 3 | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist |
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.
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 |
|---|---|---|---|
| 2752329 | OTHER (01) | MA | AETNA |
| ========= | OTHER (01) | MA | UNICARE |
| AA36064 | OTHER (01) | MA | HARVARD PILGRIM |
| ========= | OTHER (01) | MA | CIGNA |
| ========= | OTHER (01) | MA | UNITED |
| 0035582 | OTHER (01) | MA | NEIGHBORHOOD HEALTH |
| Y61424 | OTHER (01) | MA | BC/BS |
| PT0294 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
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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 | 5 | 5 | 3 | 6 | 9 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 6 | 18 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 6 + 1 + 8 + 9 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1255369963 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154410371 | MR. KENNETH L JOHNSON PTA Individual | Physical Therapy Assistant | 200 MAIN STREET SUITE 111 STONEHAM, MA 02180 (617) 666-8800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255369963, enumerated in the NPI registry as an "organization" on June 29, 2006
The provider is located at 200 Main Street 111 Stoneham, Ma 02180 and the phone number is (617) 666-8800
This medical organization specializes in Physical Therapist with taxonomy code 2251S0007X with a focus in Sports
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Cigna and Blue Cross. 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 June 29, 2006. 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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