BRANDON LARSON PTA
NPI 1639648082
Physical Therapist - Geriatrics in Spring Green, WI

NPI Status: Active since November 15, 2018

Contact Information

501 S WINSTED ST
SPRING GREEN, WI
ZIP 53588
Phone: (608) 588-0208

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  • Individual
  • Male
  • Physical Therapist
  • Geriatrics

About BRANDON LARSON

This page provides the complete NPI Profile along with additional information for Brandon Larson, a provider established in Spring Green, Wisconsin with a medical specialization in Physical Therapist, focusing in geriatrics . The healthcare provider is registered in the NPI registry with number 1639648082 assigned on November 2018. The practitioner's primary taxonomy code is 2251G0304X with license number 2795-19 (WI). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1639648082
Provider Name
BRANDON LARSON PTA
Gender
Male
Entity Type
Individual
Location Address
501 S WINSTED ST SPRING GREEN, WI 53588
Location Phone
(608) 588-0208
Mailing Address
4603 COUNTY ROAD F BLUE MOUNDS, WI 53517
Mailing Phone
(608) 963-3401
Is Sole Proprietor?
Yes
Enumeration Date
11-15-2018
Last Update Date
11-15-2018
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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 Geriatrics

Taxonomy Code
2251G0304X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2795-19
License State
WI
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

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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.
1639648082
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266912416016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 4 + 1 + 6 + 0 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1639648082 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154008043 CHLOE L ROONEY
Individual
Physical Therapy Assistant501 S WINSTED ST
SPRING GREEN, WI 53588
(608) 588-2586
1972504835RIVER VALLEY NURSING HOME, INC
Organization
Skilled Nursing Facility501 S WINSTED ST
SPRING GREEN, WI 53588
(608) 588-2586

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639648082, enumerated in the NPI registry as an "individual" on November 15, 2018

The provider is located at 501 S Winsted St Spring Green, Wi 53588 and the phone number is (608) 588-0208

The provider's speciality is Physical Therapist with taxonomy code 2251G0304X with a focus in Geriatrics

This NPI record was last updated on November 15, 2018. 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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