JETHRO PAYNE DE VEGA LA ROSA
NPI 1720422983
Physical Therapy Assistant in Fremont, CA

NPI Status: Active since April 18, 2013

Contact Information

39210 STATE ST
SUITE 202
FREMONT, CA
ZIP 94538
Phone: (510) 790-9480

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  • Individual
  • Male
  • Physical Therapy Assistant

About JETHRO PAYNE LA ROSA

This page provides the complete NPI Profile along with additional information for Jethro Payne La Rosa, a provider established in Fremont, California with a medical specialization in Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1720422983 assigned on April 2013. The practitioner's primary taxonomy code is 225200000X. The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1720422983
Provider Name
JETHRO PAYNE DE VEGA LA ROSA
Gender
Male
Entity Type
Individual
Location Address
39210 STATE ST SUITE 202 FREMONT, CA 94538
Location Phone
(510) 790-9480
Mailing Address
39210 STATE ST SUITE 202 FREMONT, CA 94538
Is Sole Proprietor?
No
Enumeration Date
04-18-2013
Last Update Date
04-18-2013
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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 Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
CA
Taxonomy Description
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

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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.
1720422983
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740824916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 2 + 4 + 9 + 1 + 6 + 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 1720422983 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134290430 TAO XIE L.AC., O.M.D.
Individual
Acupuncturist39210 STATE ST SUITE 209
FREMONT, CA 94538
(510) 794-8289
1609947837 BE ROBERT XIE L.AC.
Individual
Acupuncturist39210 STATE ST SUITE 209
FREMONT, CA 94538
(510) 794-8289
1770644510 DAVID K PANG MD
Individual
Orthopaedic Surgery39210 STATE ST SUITE 208
FREMONT, CA 94538
(510) 792-8341
1801937446 WAYNE ANGELOTY
Individual
Physical Therapist39210 STATE ST SUITE 117
FREMONT, CA 94538
(510) 791-0898
1902178387TERESA YIN WONG CHIROPRACTIC CORPORATION
Organization
Chiropractor (Independent Medical Examiner)39210 STATE ST SUITE 110
FREMONT, CA 94538
(510) 793-6302
1457566515WEST COAST HEARING LLC
Organization
Hearing Aid Equipment39210 STATE ST SUITE 204
FREMONT, CA 94538
(510) 894-4556
1144681677 SHOBHANA GOPALAKRISHNAN PT, DPT
Individual
Physical Therapist39210 STATE ST #202
FREMONT, CA 94538
(510) 790-9480
1013456797 INA FITZGIBBON PT
Individual
Physical Therapist39210 STATE ST STE 202
FREMONT, CA 94538
(415) 420-6127
1427182799HANH NGUYEN DO MD A MEDICAL CORPORATION
Organization
Obstetrics & Gynecology39210 STATE ST SUITE 212
FREMONT, CA 94538
(510) 796-0162
1225561103LARA T. SAN PEDRO, PSY.D., A PSYCHOLOGICAL CORPORATION
Organization
Clinic/Center39210 STATE ST SUITE 200
FREMONT, CA 94538
(209) 373-0884
1154829976 STEPHANIE SHERIDAN
Individual
Behavior Technician39210 STATE ST
FREMONT, CA 94538
(510) 894-4456
1528566247 ATARA BARHANY
Individual
Behavior Technician39210 STATE ST
FREMONT, CA 94538
(510) 894-4456
1205337060MS. NATALIE MARIA ELENA GONZALEZ
Individual
Behavior Analyst39210 STATE ST
FREMONT, CA 94538
(510) 894-4456
1306348685 ERIKA MENDOZA
Individual
Behavior Technician39210 STATE ST
FREMONT, CA 94538
(510) 894-4456
1609379007 MARTHA CLEMENTE
Individual
Behavior Technician39210 STATE ST
FREMONT, CA 94538
(818) 345-2345
1770070377 JARED BONOAN
Individual
Behavior Technician39210 STATE ST
FREMONT, CA 94538
(510) 894-4456
1942785514 BRANDON NELSON ICBAN
Individual
Behavior Analyst39210 STATE ST
FREMONT, CA 94538
(510) 399-7080
1932679545 SHANDRINA M JARDINE
Individual
Behavior Technician39210 STATE ST SUITE 220
FREMONT, CA 94538
(510) 894-4138
1790255263 JHOANN NICOLE LOPEZ BATAC
Individual
Behavior Technician39210 STATE ST
FREMONT, CA 94538
(510) 894-4135
1457912826 NANCY RUIZ
Individual
Behavior Technician39210 STATE ST
FREMONT, CA 94538
(510) 894-4456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720422983, enumerated in the NPI registry as an "individual" on April 18, 2013

The provider is located at 39210 State St Suite 202 Fremont, Ca 94538 and the phone number is (510) 790-9480

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on April 18, 2013. 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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