MR. MAYNARD VILLAVICENCIO UTAYDE PT
NPI 1699832113
Physical Therapist in Mishawaka, IN

NPI Status: Active since January 03, 2007

Contact Information

1409 E DAY RD
MISHAWAKA, IN
ZIP 46545
Phone: (574) 257-9880

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  • Individual
  • Male
  • Physical Therapist

About MAYNARD UTAYDE

This page provides the complete NPI Profile along with additional information for Maynard Utayde, a provider established in Mishawaka, Indiana with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1699832113 assigned on January 2007. The practitioner's primary taxonomy code is 225100000X with license number 05005198A (IN). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1699832113
Provider Name
MR. MAYNARD VILLAVICENCIO UTAYDE PT
Gender
Male
Entity Type
Individual
Location Address
1409 E DAY RD MISHAWAKA, IN 46545
Location Phone
(574) 257-9880
Mailing Address
51470 NORWICH DR GRANGER, IN 46530
Mailing Phone
(574) 257-9880
Is Sole Proprietor?
Yes
Enumeration Date
01-03-2007
Last Update Date
07-17-2016
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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 No.
05005198A
License State
IN
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.
1699832113
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189163412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 6 + 3 + 4 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1699832113 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699832113, enumerated in the NPI registry as an "individual" on January 03, 2007

The provider is located at 1409 E Day Rd Mishawaka, In 46545 and the phone number is (574) 257-9880

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

This NPI record was last updated on January 03, 2007. 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.