VANTAGE SPORTS AND REHAB, LLC
NPI 1770814089
Clinic/Center - Physical Therapy in Palmer, MA

NPI Status: Active since January 26, 2010

Contact Information

1581 N MAIN ST
PALMER, MA
ZIP 01069
Phone: (413) 283-8303
Fax: (413) 823-8304

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

About VANTAGE SPORTS AND REHAB, LLC

This page provides the complete NPI Profile along with additional information for Vantage Sports And Rehab, Llc, a provider established in Palmer, Massachusetts operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1770814089 assigned on January 2010. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Dmitry Voloshinov Dpt, Sts (Owner/physical Therapist)

NPI
1770814089
Provider Name
VANTAGE SPORTS AND REHAB, LLC
Entity Type
Organization
Location Address
1581 N MAIN ST PALMER, MA 01069
Location Phone
(413) 283-8303
Location Fax
(413) 823-8304
Mailing Address
1581 N MAIN ST PALMER, MA 01069
Mailing Phone
(413) 283-8303
Mailing Fax
(413) 823-8304
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2010
Last Update Date
11-21-2012
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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
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:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

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

DR. DMITRY VOLOSHINOV DPT, STS

Authorized Official Title
OWNER/PHYSICAL THERAPIST
Authorized Official Phone
(413) 283-8303

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
001014801MEDICARE PIN (08)MA 

Reviews for VANTAGE SPORTS AND REHAB, LLC

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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.
1770814089
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401618016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 6 + 1 + 8 + 0 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1770814089 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568642320 MELISSA LALLI
Individual
Specialist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1851571541MISS JESSICA MARIE COUTURE CCLS
Individual
Developmental Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1679753248MS. EMILY JOHNSON SULLIVAN
Individual
Developmental Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1861673295MRS. SALLY-ANNE DUNN M.A., CCC-SLP
Individual
Speech-Language Pathologist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1578743902 SARAH DUPRET AASHEIM
Individual
Developmental Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1215118468 CAREN LES
Individual
Occupational Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1801077037 DAWN MARIE ALLEN OTR/L
Individual
Occupational Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1124209325 DONNA SADIE EDERY-SHALVOY M.S.W.
Individual
Social Worker (Clinical)1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1679755995MRS. LISA JANET RONALDSON P.T.
Individual
Physical Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1972835585MRS. KRISTIE VOLOSHINOV MPT
Individual
Physical Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-8303
1497060172MRS. SUSAN E HULBERT
Individual
Physical Therapy Assistant1581 N MAIN ST
PALMER, MA 01069
(413) 283-8303
1194003699 DIANE T PACOCHA PTA
Individual
Physical Therapy Assistant1581 N MAIN ST
PALMER, MA 01069
(413) 283-8303
1235562620MISS KAYLA MARY MOREAU
Individual
Developmental Therapist1581 N MAIN ST
PALMER, MA 01069
(401) 263-8879
1447676051CRITERION CHILD ENRICHMENT
Organization
Early Intervention Provider Agency1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1992121222 KELLY BLANEY
Individual
Developmental Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1821401217 KELLI CORREIA
Individual
Health Educator1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1518343698 HELEN WOOD
Individual
Behavior Analyst1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1528431996 JARED NYKIEL
Individual
Physical Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-8303
1922517630 LAURA JANE OUTHUSE OTR/L
Individual
Occupational Therapist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267
1588144455 MAURA CHLEBUS
Individual
Speech-Language Pathologist1581 N MAIN ST
PALMER, MA 01069
(413) 283-3267

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770814089, enumerated in the NPI registry as an "organization" on January 26, 2010

The provider is located at 1581 N Main St Palmer, Ma 01069 and the phone number is (413) 283-8303

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

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. 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 January 26, 2010. 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.