ICHOR SPORTS MEDICINE
NPI 1760762785
Clinic/Center - Physical Therapy in Murrieta, CA

NPI Status: Active since August 22, 2011

Contact Information

38397 INNOVATION CT
SUITE 104
MURRIETA, CA
ZIP 92563
Phone: (951) 888-2323

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  • Organization
  • Clinic/Center
  • Physical Therapy

About ICHOR SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Ichor Sports Medicine, a provider established in Murrieta, California operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1760762785 assigned on August 2011. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Eriberto Casillas At,cscs (Director Sports Medicine)

NPI
1760762785
Provider Name
ICHOR SPORTS MEDICINE
Entity Type
Organization
Location Address
38397 INNOVATION CT SUITE 104 MURRIETA, CA 92563
Location Phone
(951) 888-2323
Mailing Address
38397 INNOVATION CT SUITE 104 MURRIETA, CA 92563
Mailing Phone
(951) 888-2323
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2011
Last Update Date
12-28-2016
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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

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.

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. ERIBERTO CASILLAS AT,CSCS

Authorized Official Title
DIRECTOR SPORTS MEDICINE
Authorized Official Phone
(760) 209-4419

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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.
1760762785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201464716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 6 + 4 + 7 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1760762785 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477680940 ERIBERTO CASILLAS ATC, CSCS
Individual
Specialist/Technologist (Athletic Trainer)38397 INNOVATION CT SUITE 106
MURRIETA, CA 92563
(951) 290-8007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760762785, enumerated in the NPI registry as an "organization" on August 22, 2011

The provider is located at 38397 Innovation Ct Suite 104 Murrieta, Ca 92563 and the phone number is (951) 888-2323

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

This NPI record was last updated on August 22, 2011. 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.