WILLIAM J DEAREN PT
NPI 1750388922
Physical Therapist in Kingsland, GA

NPI Status: Active since July 04, 2005

Contact Information

140 LAKES BLVD
SUITE C
KINGSLAND, GA
ZIP 31548
Phone: (706) 802-1991
Fax: (706) 802-1408

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  • Individual
  • Male
  • Physical Therapist

About WILLIAM DEAREN

This page provides the complete NPI Profile along with additional information for William Dearen, a provider established in Kingsland, Georgia with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1750388922 assigned on July 2005. The practitioner's primary taxonomy code is 225100000X with license number PT005992 (GA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1750388922
Provider Name
WILLIAM J DEAREN PT
Gender
Male
Entity Type
Individual
Location Address
140 LAKES BLVD SUITE C KINGSLAND, GA 31548
Location Phone
(706) 802-1991
Location Fax
(706) 802-1408
Mailing Address
140 LAKES BLVD SUITE C KINGSLAND, GA 31548
Mailing Phone
(706) 802-1991
Mailing Fax
(706) 802-1408
Is Sole Proprietor?
Yes
Enumeration Date
07-04-2005
Last Update Date
07-08-2007
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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.
PT005992
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.

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

PT17063 (FL)

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
116793MEDICARE ID-TYPE UNSPECIFIED (04)GAS GA MEDICARE

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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.
1750388922
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100681694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 8 + 1 + 6 + 9 + 4 + 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 1750388922 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053318733 SARA LENTZ SLP
Individual
Speech-Language Pathologist140 LAKES BLVD SUITE C
KINGSLAND, GA 31548
(706) 802-1991
1932259926 ROSEMARIE PANIDES KAISER LCSW
Individual
Social Worker (Clinical)140 LAKES BLVD
KINGSLAND, GA 31548
(912) 729-5501
1194935890 STEPHANIE MARIE STETTER COTA
Individual
Occupational Therapy Assistant140 LAKES BLVD
KINGSLAND, GA 31548
(706) 236-2758
1790051068MS. GEORGIA DIANE MESSMER LPC
Individual
Counselor (Mental Health)140 LAKES BLVD SUITE 215
KINGSLAND, GA 31548
(912) 322-0413
1902576119SOUTHEAST GEORGIA COUNSELING & PLAY THERAPY, LLC
Organization
Counselor (Professional)140 LAKES BLVD
KINGSLAND, GA 31548
(912) 510-6250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750388922, enumerated in the NPI registry as an "individual" on July 04, 2005

The provider is located at 140 Lakes Blvd Suite C Kingsland, Ga 31548 and the phone number is (706) 802-1991

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

The provider might be accepting Accepts: Medicare and Medicaid. 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 04, 2005. 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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