MID OHIO MEDICAL MASSAGE @ REHABILITATION
NPI 1568654549
Clinic/Center - Physical Therapy in Mount Vernon, OH

NPI Status: Active since August 14, 2007

Contact Information

11337 UPPER GILCHRIST RD
MOUNT VERNON, OH
ZIP 43050
Phone: (740) 393-2348
Fax: (740) 393-2043

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 36D2014494
  • CLIA Cert. Type: Other - OCCUPATIONAL HEALTH
  • CLIA Exp. Date: 10-11-2026

About MID OHIO MEDICAL MASSAGE @ REHABILITATION

This page provides the complete NPI Profile along with additional information for Mid Ohio Medical Massage @ Rehabilitation, a provider established in Mount Vernon, Ohio operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1568654549 assigned on August 2007. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Kelly Sue Patton-cook Pt (Owner)

NPI
1568654549
Provider Name
MID OHIO MEDICAL MASSAGE @ REHABILITATION
Entity Type
Organization
Location Address
11337 UPPER GILCHRIST RD MOUNT VERNON, OH 43050
Location Phone
(740) 393-2348
Location Fax
(740) 393-2043
Mailing Address
777 BROOKLAWN DR HOWARD, OH 43028
Mailing Phone
(740) 397-1447
Mailing Fax
(740) 393-2043
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2007
Last Update Date
08-14-2007
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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

MS. KELLY SUE PATTON-COOK PT

Authorized Official Title
OWNER
Authorized Official Phone
(740) 397-1447

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
36D2014494
Facility Type
Other - OCCUPATIONAL HEALTH
Certificate Effective Date
October 12, 2024
Certificate Expiration Date
October 11, 2026
Laboratory Director
M BRADLEY SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mid Ohio Medical Massage @ Rehabilitation 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.

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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.
1568654549
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128125858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 8 + 5 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1568654549 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568654549, enumerated in the NPI registry as an "organization" on August 14, 2007

The provider is located at 11337 Upper Gilchrist Rd Mount Vernon, Oh 43050 and the phone number is (740) 393-2348

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

The provider's CLIA number is 36D2014494 for a "other - occupational health" 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 August 14, 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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