SANTA RITA OUTPATIENT THERAPY LLC
NPI 1760816375
Clinic/Center - Physical Therapy in Green Valley, AZ
NPI Status: Active since August 30, 2013
Contact Information
170 N LA CANADA DR
SUITE 20
GREEN VALLEY, AZ
ZIP 85614
Phone: (520) 352-3049
Fax: (520) 625-2871
- Organization
- Clinic/Center
- Physical Therapy
- CLIA Number: 03D0685952
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About SANTA RITA OUTPATIENT THERAPY LLC
This page provides the complete NPI Profile along with additional information for Santa Rita Outpatient Therapy Llc, a provider established in Green Valley, Arizona operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1760816375 assigned on August 2013. The practitioner's primary taxonomy code is 261QP2000X with license number OTC5362 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. Santa Rita Outpatient Therapy Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Carl Zimmerman (Owner/senior Vice President)
- NPI
- 1760816375
- Provider Name
- SANTA RITA OUTPATIENT THERAPY LLC
- Entity Type
- Organization
- Location Address
- 170 N LA CANADA DR SUITE 20 GREEN VALLEY, AZ 85614
- Location Phone
- (520) 352-3049
- Location Fax
- (520) 625-2871
- Mailing Address
- 150 N LA CANADA DR GREEN VALLEY, AZ 85614
- Mailing Phone
- (520) 625-0178
- Mailing Fax
- (520) 625-2871
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2013
- Last Update Date
- 05-05-2015
- Code Navigator
Location Map
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
- License No.
- OTC5362
- License State
- AZ
- 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.
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) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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 |
|---|---|---|---|
| 03-6599 | MEDICARE PIN (08) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D0685952
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- BRANDON HATCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Santa Rita Outpatient Therapy Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 7 | 6 | 0 | 8 | 1 | 6 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 16 | 1 | 12 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 6 + 1 + 1 + 2 + 3 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1760816375 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 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821475856 | JESSICA RANSOM PTA Individual | Physical Therapy Assistant | 170 N LA CANADA DR SUITE 20 GREEN VALLEY, AZ 85614 (520) 352-3049 |
| 1427304468 | SANTA RITA CARE CENTER, LLC Organization | Clinic/Center (Physical Therapy) | 170 N LA CANADA DR SUITE 20 GREEN VALLEY, AZ 85614 (520) 352-3049 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760816375, enumerated in the NPI registry as an "organization" on August 30, 2013
The provider is located at 170 N La Canada Dr Suite 20 Green Valley, Az 85614 and the phone number is (520) 352-3049
This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy
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.
The provider's CLIA number is 03D0685952 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 30, 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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