ESSENTIAL BALANCE PHYSICAL THERAPY, INC
NPI 1770537235
Physical Therapist in San Rafael, CA

NPI Status: Active since May 20, 2006

Contact Information

25 MITCHELL BLVD
SUITE 2
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 924-5700
Fax: (415) 924-5723

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  • Organization
  • Physical Therapist

About ESSENTIAL BALANCE PHYSICAL THERAPY, INC

This page provides the complete NPI Profile along with additional information for Essential Balance Physical Therapy, Inc, a provider established in San Rafael, California operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1770537235 assigned on May 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Bonnie Jean Davidson Pt (Owner/treasurer)

NPI
1770537235
Provider Name
ESSENTIAL BALANCE PHYSICAL THERAPY, INC
Entity Type
Organization
Location Address
25 MITCHELL BLVD SUITE 2 SAN RAFAEL, CA 94903
Location Phone
(415) 924-5700
Location Fax
(415) 924-5723
Mailing Address
25 MITCHELL BLVD SUITE 2 SAN RAFAEL, CA 94903
Mailing Phone
(415) 924-5700
Mailing Fax
(415) 924-5723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
12-05-2017
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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
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

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

MS. BONNIE JEAN DAVIDSON PT

Authorized Official Title
OWNER/TREASURER
Authorized Official Phone
(415) 924-5700

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
1205886561OTHER (01)CANPI
1609826965OTHER (01)CANPI

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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.
1770537235
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401031426
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 0 + 3 + 1 + 4 + 2 + 6 + 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 = 55

The NPI number 1770537235 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093893752DR. ANN HATHAWAY MD
Individual
Family Medicine25 MITCHELL BLVD #3
SAN RAFAEL, CA 94903
(415) 499-0966
1881722247DR. THOMAS REECE DO
Individual
Neuromusculoskeletal Medicine, Sports Medicine25 MITCHELL BLVD
SAN RAFAEL, CA 94903
(415) 472-2343
1740318112DR. ELSON M HAAS M.D.
Individual
Allergy & Immunology25 MITCHELL BLVD SUITE 8
SAN RAFAEL, CA 94903
(415) 472-2343
1679783625DR. RICHARD L. SHAMES MD
Individual
Preventive Medicine (Public Health & General Preventive Medicine)25 MITCHELL BLVD #8
SAN RAFAEL, CA 94903
(415) 472-2343
1043420896MS. JUDY LANE N.P., R.N.
Individual
Nurse Practitioner (Adult Health)25 MITCHELL BLVD SUITE 8
SAN RAFAEL, CA 94903
(415) 472-2343
1497959266MS. KARILEE HALO SHAMES PHD, RN, A-HNC
Individual
Registered Nurse (Psychiatric/Mental Health)25 MITCHELL BLVD SUITE 8
SAN RAFAEL, CA 94903
(415) 472-2343
1215137716 SEEMIN ANNA DALLENBACH D.C.
Individual
Chiropractor25 MITCHELL BLVD SUITE 8
SAN RAFAEL, CA 94903
(415) 472-2343
1801298930 LAUREN IONE FRIEDEMAN DPT
Individual
Physical Therapist25 MITCHELL BLVD SUITE 2
SAN RAFAEL, CA 94903
(415) 924-5700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770537235, enumerated in the NPI registry as an "organization" on May 20, 2006

The provider is located at 25 Mitchell Blvd Suite 2 San Rafael, Ca 94903 and the phone number is (415) 924-5700

This medical organization specializes in 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 May 20, 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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