CONNECTICUT PHYSICAL THERAPY SPECIALISTS LLC
NPI 1639441439
Clinic/Center - Physical Therapy in Granby, CT
NPI Status: Active since February 08, 2012
- Organization
- Clinic/Center
- Physical Therapy
- CLIA Number: 07D2009395
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2026
About CONNECTICUT PHYSICAL THERAPY SPECIALISTS LLC
This page provides the complete NPI Profile along with additional information for Connecticut Physical Therapy Specialists Llc, a provider established in Granby, Connecticut operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1639441439 assigned on February 2012. The practitioner's primary taxonomy code is 261QP2000X with license number 003110 (CT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. David J Bostic Pt (Physical Therapist/owner)
- NPI
- 1639441439
- Provider Name
- CONNECTICUT PHYSICAL THERAPY SPECIALISTS LLC
- Entity Type
- Organization
- Location Address
- 11 MILL POND DR GRANBY, CT 06035
- Location Phone
- (860) 413-9969
- Mailing Address
- PO BOX 268 GRANBY, CT 06035
- Mailing Phone
- (860) 413-9969
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2012
- Last Update Date
- 07-28-2020
- Code Navigator
Location Map
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
- License No.
- 003110
- License State
- CT
- 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.
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
- 07D2009395
- Facility Type
- Physician Office
- Certificate Effective Date
- July 01, 2024
- Certificate Expiration Date
- June 30, 2026
- Laboratory Director
- DR. MARTIN D. OLLENSCHLEGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Connecticut Physical Therapy Specialists Llc 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. | |||||||||
| 1 | 6 | 3 | 9 | 4 | 4 | 1 | 4 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 4 | 2 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 4 + 2 + 4 + 6 + 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 = 9 | 9 | ||||||||
The NPI number 1639441439 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922776434 | DR. THOMAS MAGDA DPT, ATC Individual | Physical Therapist | 11 MILL POND DR GRANBY, CT 06035 (860) 413-9969 |
| 1326787946 | DR. THOMAS GREGORY ALWANG DPT, ATC, LAT Individual | Physical Therapist | 11 MILL POND DR GRANBY, CT 06035 (860) 413-9969 |
| 1740971860 | SHANNON KEENAN DPT Individual | Physical Therapist | 11 MILL POND DR GRANBY, CT 06035 (860) 325-7394 |
| 1710726427 | WESLEY CHENG DPT Individual | Physical Therapist | 11 MILL POND DR GRANBY, CT 06035 (860) 413-9969 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639441439, enumerated in the NPI registry as an "organization" on February 08, 2012
The provider is located at 11 Mill Pond Dr Granby, Ct 06035 and the phone number is (860) 413-9969
This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy
The provider's CLIA number is 07D2009395 for a "physician office" 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 February 08, 2012. 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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