PEACE RIVER PHYSICAL THERAPY & REHABILITATION, LLC
NPI 1285104828
Clinic/Center - Physical Therapy in Port Charlotte, FL

NPI Status: Active since November 27, 2018

Contact Information

2200 KINGS HWY UNIT 2F
PORT CHARLOTTE, FL
ZIP 33980
Phone: (941) 888-4561
Fax: (941) 347-4695

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance

About PEACE RIVER PHYSICAL THERAPY & REHABILITATION, LLC

This page provides the complete NPI Profile along with additional information for Peace River Physical Therapy & Rehabilitation, Llc, a provider established in Port Charlotte, Florida operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1285104828 assigned on November 2018. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lance D Doeble Mspt (Ambr)

NPI
1285104828
Provider Name
PEACE RIVER PHYSICAL THERAPY & REHABILITATION, LLC
Entity Type
Organization
Location Address
2200 KINGS HWY UNIT 2F PORT CHARLOTTE, FL 33980
Location Phone
(941) 888-4561
Location Fax
(941) 347-4695
Mailing Address
PO BOX 510326 PUNTA GORDA, FL 33951
Mailing Phone
(941) 888-4561
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2018
Last Update Date
07-28-2020
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) 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)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*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

LANCE D DOEBLE MSPT

Authorized Official Title
AMBR
Authorized Official Phone
(941) 888-4561

Reviews for PEACE RIVER PHYSICAL THERAPY & REHABILITATION, 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.
1285104828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216520884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 0 + 8 + 8 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285104828 is valid because the calculated check digit 8 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
1144857699 MARY C VEGA PT
Individual
Physical Therapist2200 KINGS HWY UNIT 2F
PORT CHARLOTTE, FL 33980
(941) 888-4561
1821248170MR. LANCE D DOEBLE MSPT
Individual
Physical Therapist2200 KINGS HWY UNIT 2F
PORT CHARLOTTE, FL 33980
(941) 888-4561
1265141105 JUDITH ANN CUSIMANO-CONNORS OT
Individual
Occupational Therapist2200 KINGS HWY UNIT 2F
PORT CHARLOTTE, FL 33980
(941) 888-4561

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285104828, enumerated in the NPI registry as an "organization" on November 27, 2018

The provider is located at 2200 Kings Hwy Unit 2f Port Charlotte, Fl 33980 and the phone number is (941) 888-4561

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider might be accepting Accepts: Aetna CVS Health. 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 27, 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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