PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC
NPI 1477760197
Speech-Language Pathologist in Seattle, WA
NPI Status: Active since May 16, 2007
Contact Information
12550 AURORA AVE N
SEATTLE, WA
ZIP 98133
Phone: (206) 363-7303
Fax: (206) 826-0181
- Organization
- Speech-Language Pathologist
- Accepts Insurance
- CLIA Number: 50D2253482
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 04-04-2028
About PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC
This page provides the complete NPI Profile along with additional information for Provail Therapeutic And Assistive Technology Clinic, a provider established in Seattle, Washington operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1477760197 assigned on May 2007. The practitioner's primary taxonomy code is 235Z00000X with license number SI00004391 (WA). The provider is registered as an organization and their NPI record was last updated 7 years ago. Provail Therapeutic And Assistive Technology Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Provail Therapeutic And Assistive Technology Clinic. The authorized official of this NPI record is Mr. Michael Hatzenbeler (Ceo)
- NPI
- 1477760197
- Provider Legal Name
- PROVAIL
- Other Organization Name
- PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12550 AURORA AVE N SEATTLE, WA 98133
- Location Phone
- (206) 363-7303
- Location Fax
- (206) 826-0181
- Mailing Address
- 12550 AURORA AVE N SEATTLE, WA 98133
- Mailing Phone
- (206) 363-7303
- Mailing Fax
- (206) 826-0181
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2007
- Last Update Date
- 06-21-2018
- 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
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- SI00004391
- License State
- WA
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
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.
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 |
|---|---|---|---|
| ========= | OTHER (01) | WA | UNIFORM MEDICAL PROVIDER |
| =========-98103-A006 | OTHER (01) | WA | REGENCE TRICARE OT |
| ========= | OTHER (01) | WA | UNITED HEALTHCARE |
| =========-3670HU | OTHER (01) | WA | REGENCE OT |
| =========-0261VA | OTHER (01) | WA | REGENCE OT |
| ========= | OTHER (01) | WA | FIRST CHOICE PPO NET |
| ========= | OTHER (01) | WA | MOLINA HEALTHCARE PROVIDE |
| =========-8519CO | OTHER (01) | WA | REGENCE SPEECH THERAPY |
| ========= | OTHER (01) | WA | PREMERA BLUE CROSS |
| =========-3671WY | OTHER (01) | WA | REGENCE SPEECH THERAPY |
| 7070949-8347395 | MEDICAID (05) | WA | |
| 7368087 | OTHER (01) | WA | AETNA CLINIC NUMBER |
| 7681083-8415291 | MEDICAID (05) | WA | |
| ========= | OTHER (01) | WA | CIGNA PROVIDER NUMBER |
| 55-0174569 | OTHER (01) | WA | LABOR AND INDUSTRIES |
| 7070949-8347429 | MEDICAID (05) | WA | |
| 397572001 | OTHER (01) | WA | GROUP HEALTH PROVIDER NUM |
| 7681083-8464992 | MEDICAID (05) | WA | |
| =========-0563FA | OTHER (01) | VA | REGENCE SPEECH THERAPY |
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
- 50D2253482
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- February 22, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- AMAL GRABINSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Provail Therapeutic And Assistive Technology Clinic 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.
Reviews for PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC
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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 | 4 | 7 | 7 | 7 | 6 | 0 | 1 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 14 | 6 | 0 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 4 + 6 + 0 + 1 + 1 + 8 + 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 1477760197 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 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629013958 | JENNIFER J BOYCE MOT, OTR/L Individual | Occupational Therapist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1912297722 | MR. LEE LOWELL GIBSON COTA/L Individual | Occupational Therapy Assistant | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1104104678 | MS. AMANDA BETH WYDEVELD CCC-SLP Individual | Speech-Language Pathologist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1962769067 | FRANCIS OLSON Individual | Specialist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1871857946 | PROVAIL Organization | Clinic/Center (Rehabilitation) | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1053676312 | MS. JENNIFER ANDERSON OTR/L Individual | Occupational Therapist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1831285634 | MS. DONNA ANN COLE WILSON MS CCC Individual | Speech-Language Pathologist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 826-1028 |
| 1881095370 | ADAM COE M.S., CCC-SLP Individual | Speech-Language Pathologist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1235257098 | KELLY MARIE KUEHL MA CCC SLP Individual | Speech-Language Pathologist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1760908560 | JULIA LADNER OTR/L Individual | Occupational Therapist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
| 1720750003 | KATHERINE SCHUELKE CCC-SLP Individual | Speech-Language Pathologist | 12550 AURORA AVE N SEATTLE, WA 98133 (206) 363-7303 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477760197, enumerated in the NPI registry as an "organization" on May 16, 2007
The provider is located at 12550 Aurora Ave N Seattle, Wa 98133 and the phone number is (206) 363-7303
This medical organization specializes in Speech-Language Pathologist with taxonomy code 235Z00000X
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 50D2253482 for a "assisted living facility" 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, 2007. 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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