DIVERSIFIED REHAB SERVICES, LLC
NPI 1760420327
Clinic/Center - Physical Therapy in Mounds, IL

NPI Status: Active since June 03, 2006

Contact Information

429 S BLANCHE ST
SUITE 210
MOUNDS, IL
ZIP 62964
Phone: (618) 745-9419
Fax: (618) 745-9421

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

About DIVERSIFIED REHAB SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Diversified Rehab Services, Llc, a provider established in Mounds, Illinois operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1760420327 assigned on June 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 authorized official of this NPI record is Mr. Benjamin N Rice (Owner)

NPI
1760420327
Provider Name
DIVERSIFIED REHAB SERVICES, LLC
Entity Type
Organization
Location Address
429 S BLANCHE ST SUITE 210 MOUNDS, IL 62964
Location Phone
(618) 745-9419
Location Fax
(618) 745-9421
Mailing Address
101 PARK CIR BENTON, IL 62812
Mailing Phone
(618) 534-9678
Mailing Fax
(618) 745-9421
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2006
Last Update Date
08-22-2020
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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

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.

Insurance Plans Accepted

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

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Connect Bronze 2000 Indiv Med Deductible - HMO
  • Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - Rx Copay - HMO
  • Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Silver CMS Standard - HMO

*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

MR. BENJAMIN N RICE

Authorized Official Title
OWNER
Authorized Official Phone
(618) 534-9678

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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.
1760420327
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712082034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 2 + 0 + 3 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1760420327 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932140720MRS. ELLY NELSON PT
Individual
Physical Therapist429 S BLANCHE ST
MOUNDS, IL 62964
(618) 745-9419

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760420327, enumerated in the NPI registry as an "organization" on June 03, 2006

The provider is located at 429 S Blanche St Suite 210 Mounds, Il 62964 and the phone number is (618) 745-9419

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois and Cigna. 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 June 03, 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].
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