KAITLYN A SHUDARK DPT
NPI 1669289765
Physical Therapist in Grovetown, GA

NPI Status: Active since December 12, 2024

Contact Information

4039 GATEWAY BLVD STE 102
GROVETOWN, GA
ZIP 30813
Phone: (706) 210-9534
Fax: (706) 210-9536

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  • Individual
  • Female
  • Physical Therapist

About KAITLYN SHUDARK

This page provides the complete NPI Profile along with additional information for Kaitlyn Shudark, a provider established in Grovetown, Georgia with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1669289765 assigned on December 2024. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1669289765
Provider Name
KAITLYN A SHUDARK DPT
Gender
Female
Entity Type
Individual
Location Address
4039 GATEWAY BLVD STE 102 GROVETOWN, GA 30813
Location Phone
(706) 210-9534
Location Fax
(706) 210-9536
Mailing Address
2122 YORK RD STE 300 OAK BROOK, IL 60523
Mailing Phone
(630) 575-1980
Mailing Fax
(706) 210-9536
Is Sole Proprietor?
No
Enumeration Date
12-12-2024
Last Update Date
12-12-2024
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
GA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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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.
1669289765
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261294818712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 4 + 8 + 1 + 8 + 7 + 1 + 2 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1669289765 is valid because the calculated check digit 5 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
1295243756 SETH BLAINE GROVER PT
Individual
Physical Medicine & Rehabilitation4039 GATEWAY BLVD STE 102
GROVETOWN, GA 30813
(706) 210-9534
1497590509 MARK CLAYTON
Individual
Physical Therapist4039 GATEWAY BLVD STE 102
GROVETOWN, GA 30813
(706) 210-9534
1033973888 SYDNEY F PHILLIPS DPT
Individual
Physical Therapist4039 GATEWAY BLVD STE 102
GROVETOWN, GA 30813
(706) 210-9534
1649036252 CATHERINE HANKS SELF DPT
Individual
Physical Therapist4039 GATEWAY BLVD STE 102
GROVETOWN, GA 30813
(706) 210-9534

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669289765, enumerated in the NPI registry as an "individual" on December 12, 2024

The provider is located at 4039 Gateway Blvd Ste 102 Grovetown, Ga 30813 and the phone number is (706) 210-9534

The provider's speciality is Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on December 12, 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.