SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC
NPI 1609635507
Durable Medical Equipment & Medical Supplies in Gresham, OR

NPI Status: Active since March 14, 2024

Contact Information

24076 SE STARK ST STE 210
GRESHAM, OR
ZIP 97030
Phone: (503) 491-1666

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About SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC

This page provides the complete NPI Profile along with additional information for Sportscare Physical Therapy @ Cornell, Llc, a provider established in Gresham, Oregon operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1609635507 assigned on March 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Penny Tacker (Regulatory Specialist)

NPI
1609635507
Provider Name
SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC
Entity Type
Organization
Location Address
24076 SE STARK ST STE 210 GRESHAM, OR 97030
Location Phone
(503) 491-1666
Mailing Address
24076 SE STARK ST STE 210 GRESHAM, OR 97030
Mailing Phone
(503) 491-1666
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2024
Last Update Date
03-14-2024
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

PENNY TACKER

Authorized Official Title
REGULATORY SPECIALIST
Authorized Official Phone
(713) 297-7052

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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.
1609635507
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091231050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 2 + 3 + 1 + 0 + 5 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1609635507 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740841691DR. RONALD TAYLOR OTD, OTR/L
Individual
Occupational Therapist24076 SE STARK ST STE 210
GRESHAM, OR 97030
(503) 419-1666
1942900600 MADISON CONSTANCE FIEF OTR/L
Individual
Occupational Therapist24076 SE STARK ST STE 210
GRESHAM, OR 97030
(503) 491-1666
1902625825 TYLER ICHIKI OTR/L
Individual
Occupational Therapist (Hand)24076 SE STARK ST STE 210
GRESHAM, OR 97030
(503) 491-1666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609635507, enumerated in the NPI registry as an "organization" on March 14, 2024

The provider is located at 24076 Se Stark St Ste 210 Gresham, Or 97030 and the phone number is (503) 491-1666

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on March 14, 2024. 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.