RUSSELL LEE PHYSICAL THERAPY INC
NPI 1770667073
Specialist in Frazier Park, CA

NPI Status: Active since October 24, 2006

Contact Information

3217 MT PINOS WAY
FRAZIER PARK, CA
ZIP 93225
Phone: (661) 245-2003
Fax: (661) 245-2004

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  • Organization
  • Specialist

About RUSSELL LEE PHYSICAL THERAPY INC

This page provides the complete NPI Profile along with additional information for Russell Lee Physical Therapy Inc, a provider established in Frazier Park, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1770667073 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number PT 5600 (CA). The provider is registered as an organization and their NPI record was last updated 17 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 Mrs. Lynn Marie Lee Pt (Owner Physical Therapist)

NPI
1770667073
Provider Name
RUSSELL LEE PHYSICAL THERAPY INC
Entity Type
Organization
Location Address
3217 MT PINOS WAY FRAZIER PARK, CA 93225
Location Phone
(661) 245-2003
Location Fax
(661) 245-2004
Mailing Address
31884 CASTAIC RD SUITE C-3 CASTAIC, CA 91384
Mailing Phone
(661) 295-0078
Mailing Fax
(661) 245-2004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
Last Update Date
05-28-2008
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
PT 5600
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

MRS. LYNN MARIE LEE PT

Authorized Official Title
OWNER PHYSICAL THERAPIST
Authorized Official Phone
(661) 295-0078

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
ID WPT5791AMEDICARE ID-TYPE UNSPECIFIED (04)CA 
ID WPT5600AMEDICARE ID-TYPE UNSPECIFIED (04)CA 

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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.
1770667073
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714012614014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 6 + 1 + 4 + 0 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1770667073 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770667073, enumerated in the NPI registry as an "organization" on October 24, 2006

The provider is located at 3217 Mt Pinos Way Frazier Park, Ca 93225 and the phone number is (661) 245-2003

This medical organization specializes in Specialist with taxonomy code 174400000X

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 October 24, 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].
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.