COUNTRYSIDE PHYSICAL THERAPY
NPI 1487127825
Clinic/Center - Physical Therapy in Killdeer, ND

NPI Status: Active since January 08, 2019

Contact Information

42 CENTRAL AVE S
KILLDEER, ND
ZIP 58640
Phone: (605) 390-4326

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  • Organization
  • Clinic/Center
  • Physical Therapy

About COUNTRYSIDE PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Countryside Physical Therapy, a provider established in Killdeer, North Dakota operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1487127825 assigned on January 2019. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Countryside Physical Therapy. The authorized official of this NPI record is Tylea Bergman Dpt (Owner)

NPI
1487127825
Provider Legal Name
COUNTRYSIDE PHYSICAL THERAPY, PLLC
Other Organization Name
COUNTRYSIDE PHYSICAL THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
42 CENTRAL AVE S KILLDEER, ND 58640
Location Phone
(605) 390-4326
Mailing Address
PO BOX 993 KILLDEER, ND 58640
Mailing Phone
(605) 390-4326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2019
Last Update Date
12-19-2019
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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.

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

TYLEA BERGMAN DPT

Authorized Official Title
OWNER
Authorized Official Phone
(605) 390-4326

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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.
1487127825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167221484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 2 + 2 + 1 + 4 + 8 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1487127825 is valid because the calculated check digit 5 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
1487042438KILLDEER CHIROPRACTIC ACUPUNCTURE & BODYWORK
Organization
Chiropractor42 CENTRAL AVE S
KILLDEER, ND 58640
(701) 764-7227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487127825, enumerated in the NPI registry as an "organization" on January 08, 2019

The provider is located at 42 Central Ave S Killdeer, Nd 58640 and the phone number is (605) 390-4326

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

This NPI record was last updated on January 08, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.