SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.
NPI 1619261757
Clinic/Center in Southlake, TX

NPI Status: Active since June 07, 2011

Contact Information

1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 310-0421
Fax: (817) 310-5870

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  • Organization
  • Clinic/Center

About SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.

This page provides the complete NPI Profile along with additional information for Spine Works Therapy-southlake, P.l.l.c., a provider established in Southlake, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1619261757 assigned on June 2011. The practitioner's primary taxonomy code is 261Q00000X with license number L5053 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Jeffery B Phelps M.d. (President)

NPI
1619261757
Provider Name
SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.
Entity Type
Organization
Location Address
1001 W SOUTHLAKE BLVD SOUTHLAKE, TX 76092
Location Phone
(817) 310-0421
Location Fax
(817) 310-5870
Mailing Address
1001 WEST SOUTHLAKE BLVD. SOUTHLAKE, TX 76092
Mailing Phone
(817) 310-0421
Mailing Fax
(817) 310-5870
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2011
Last Update Date
06-07-2011
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
L5053
License State
TX
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

JEFFERY B PHELPS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(817) 616-0700

Reviews for SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.

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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.
1619261757
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629462710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 4 + 6 + 2 + 7 + 1 + 0 + 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 = 77

The NPI number 1619261757 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831338391WYATT WEBB MD PA
Organization
Clinic/Center (Primary Care)1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(817) 310-3734
1295001311MIHILLS HOME VISITS PLLC
Organization
Family Medicine1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(817) 310-0421
1417203100 KIMBERLY ANN WARD MD
Individual
Internal Medicine1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(817) 310-0421
1235211186 CHRISTINE ANN LINERT FNP-C
Individual
Nurse Practitioner (Primary Care)1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(817) 310-5870
1245437193MRS. LANA M HEATH FNP
Individual
Nurse Practitioner (Family)1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(817) 310-0421
1972157915 SHELLY SKARIAH
Individual
Nurse Practitioner (Primary Care)1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(817) 865-1048
1487191821 KRISTINA MYLES DC
Individual
Chiropractor1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(800) 404-6050
1134767411ARLINGTON ORTHOPEDIC ASSOCIATES PA
Organization
Durable Medical Equipment & Medical Supplies1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
(817) 375-5200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619261757, enumerated in the NPI registry as an "organization" on June 07, 2011

The provider is located at 1001 W Southlake Blvd Southlake, Tx 76092 and the phone number is (817) 310-0421

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on June 07, 2011. 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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