EASTSIDE SPORTS REHAB
NPI 1699796755
Clinic/Center - Physical Therapy in Bellevue, WA

NPI Status: Active since July 22, 2006

Contact Information

11400 SE 6TH ST STE 105
BELLEVUE, WA
ZIP 98004
Phone: (425) 576-8180
Fax: (425) 746-2002

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance

About EASTSIDE SPORTS REHAB

This page provides the complete NPI Profile along with additional information for Eastside Sports Rehab, a provider established in Bellevue, Washington operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1699796755 assigned on July 2006. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Eastside Sports Rehab. The authorized official of this NPI record is Ms. Nicole Park (Billing Manager)

NPI
1699796755
Provider Legal Name
ESRC PLLC
Other Organization Name
EASTSIDE SPORTS REHAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11400 SE 6TH ST STE 105 BELLEVUE, WA 98004
Location Phone
(425) 576-8180
Location Fax
(425) 746-2002
Mailing Address
11400 SE 6TH ST STE 105 BELLEVUE, WA 98004
Mailing Phone
(425) 576-8180
Mailing Fax
(425) 746-2002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
06-18-2020
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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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. NICOLE PARK

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(425) 576-8180

Reviews for EASTSIDE SPORTS REHAB

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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.
1699796755
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2618914912710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 9 + 1 + 2 + 7 + 1 + 0 + 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 1699796755 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144234311MR. MICHAEL H YAMASHITA PT
Individual
Physical Therapist11400 SE 6TH ST STE 105
BELLEVUE, WA 98004
(425) 576-8180
1770100281 HORK CHAY DO DPT
Individual
Physical Therapist11400 SE 6TH ST STE 105
BELLEVUE, WA 98004
(425) 576-8180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699796755, enumerated in the NPI registry as an "organization" on July 22, 2006

The provider is located at 11400 Se 6th St Ste 105 Bellevue, Wa 98004 and the phone number is (425) 576-8180

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 22, 2006. 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.