SPORT CLINIC INC
NPI 1497771901
Physical Therapist in Fremont, CA

NPI Status: Active since July 15, 2006

Contact Information

39180 FARWELL DR
SUITE 101
FREMONT, CA
ZIP 94538
Phone: (510) 438-0294
Fax: (510) 438-0468

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  • Organization
  • Physical Therapist

About SPORT CLINIC INC

This page provides the complete NPI Profile along with additional information for Sport Clinic Inc, a provider established in Fremont, California operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1497771901 assigned on July 2006. The practitioner's primary taxonomy code is 225100000X with license number PT18871 (CA). The provider is registered as an organization and their NPI record was last updated 14 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 Darryl Lance Lopez Pt (Vice President Sercetary)

NPI
1497771901
Provider Name
SPORT CLINIC INC
Entity Type
Organization
Location Address
39180 FARWELL DR SUITE 101 FREMONT, CA 94538
Location Phone
(510) 438-0294
Location Fax
(510) 438-0468
Mailing Address
39180 FARWELL DR SUITE 101 FREMONT, CA 94538
Mailing Phone
(510) 438-0294
Mailing Fax
(510) 438-0468
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2006
Last Update Date
03-18-2011
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT18871
License State
CA
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.

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:

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.

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

DARRYL LANCE LOPEZ PT

Authorized Official Title
VICE PRESIDENT SERCETARY
Authorized Official Phone
(510) 438-0294

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
ZZZ03200ZMEDICARE PIN (08)CA 

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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.
1497771901
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187147290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 7 + 2 + 9 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1497771901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477792828PRECISION SURGICENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)39180 FARWELL DR SUITE 100
FREMONT, CA 94538
(510) 494-0800
1306137542PREMIER SURGICENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)39180 FARWELL DR SUITE 105
FREMONT, CA 94538
(510) 494-0800
1043572373FARWELL SURGICENTER
Organization
Clinic/Center (Ambulatory Surgical)39180 FARWELL DR
FREMONT, CA 94538
(510) 857-1004
1811233521OPEN MRI OF FREMONT
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))39180 FARWELL DR
FREMONT, CA 94538
(510) 585-2296
1013044601DR. JOHN JAUREGUITO MD
Individual
Specialist39180 FARWELL DR SUITE 110
FREMONT, CA 94538
(510) 739-6520
1316040876DR. BASIL RASHAD BESH MD
Individual
Orthopaedic Surgery (Hand Surgery)39180 FARWELL DR SUITE 211
FREMONT, CA 94538
(510) 857-1000
1356758619MR. JOSHUA RAMOS OTR/L
Individual
Occupational Therapist39180 FARWELL DR SUITE 211
FREMONT, CA 94538
(510) 857-1000
1932517117 DEANNA M DESCAMP OTR/L
Individual
Occupational Therapist (Hand)39180 FARWELL DR SUITE 211
FREMONT, CA 94538
(510) 857-1000
1841591203 BRITTNEY NICHOLS
Individual
Occupational Therapist39180 FARWELL DR STE 211
FREMONT, CA 94538
(510) 857-1000
1952780652 BENJAMIN WEIZER CHANG
Individual
Nurse Practitioner39180 FARWELL DR
FREMONT, CA 94538
(510) 585-2545
1790194785 MICHELLE JAY P.T.
Individual
Physical Therapist39180 FARWELL DR SUITE 231
FREMONT, CA 94538
(510) 585-2545
1649316399BASIL R BESH MD INC
Organization
Orthopaedic Surgery (Hand Surgery)39180 FARWELL DR SUITE 211
FREMONT, CA 94538
(510) 857-1000
1457681769 GEETA NASIKA PT
Individual
Physical Therapist (Orthopedic)39180 FARWELL DR
FREMONT, CA 94538
(510) 857-1000
1063021467HUAYI MEDICAL PROFESSIONAL CORPORATION
Organization
Anesthesiology39180 FARWELL DR
FREMONT, CA 94538
(209) 956-7725
1447311253ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP
Organization
Orthopaedic Surgery39180 FARWELL DR SUITE 110
FREMONT, CA 94538
(510) 739-6520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497771901, enumerated in the NPI registry as an "organization" on July 15, 2006

The provider is located at 39180 Farwell Dr Suite 101 Fremont, Ca 94538 and the phone number is (510) 438-0294

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 July 15, 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].
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.