JADE DERDER PT
NPI 1790305563
Physical Therapist in Urbana, IL
NPI Status: Active since April 22, 2020
- Individual
- Female
- Physical Therapist
About JADE DERDER
This page provides the complete NPI Profile along with additional information for Jade Derder, a provider established in Urbana, Illinois with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1790305563 assigned on April 2020. The practitioner's primary taxonomy code is 225100000X with license number 070023644 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1790305563
- Provider Name
- JADE DERDER PT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 611 W PARK ST URBANA, IL 61801
- Location Phone
- (217) 383-3311
- Mailing Address
- 611 W. PARK ST. FAPC URBANA, IL 61801
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-22-2020
- Last Update Date
- 04-22-2020
- 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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 070023644
- License State
- IL
- 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.
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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 | 9 | 0 | 3 | 0 | 5 | 5 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 6 | 0 | 10 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 6 + 0 + 1 + 0 + 5 + 1 + 2 + 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 = 3 | 3 | ||||||||
The NPI number 1790305563 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1477518025 | MRS. BETH ANN LANGFORD CNNP Individual | Nurse Practitioner (Neonatal) | 611 W PARK ST URBANA, IL 61801 (217) 383-3176 |
| 1295791127 | DR. RICHARD E NICOL MD Individual | Emergency Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3319 |
| 1366408684 | DR. ROBERT T KISKADDON MD Individual | Emergency Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3319 |
| 1760438204 | CARLE FOUNDATION PHYSICIAN SERVICES LLC Organization | Internal Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3319 |
| 1679598031 | TERI D WEIR PA Individual | Physician Assistant | 611 W PARK ST URBANA, IL 61801 (217) 544-6464 |
| 1225103989 | TAMMIE ELLINGSON CNS Individual | Clinical Nurse Specialist | 611 W PARK ST URBANA, IL 61801 (217) 383-3311 |
| 1649335886 | JUDITH A CHASE NP Individual | Registered Nurse (Critical Care Medicine) | 611 W PARK ST URBANA, IL 61801 (217) 383-3311 |
| 1023163441 | CARLE FOUNDATION HOSPITAL Organization | Pharmacy | 611 W PARK ST URBANA, IL 61801 (217) 383-3252 |
| 1366597510 | CARLE FOUNDATION HOSPITAL Organization | Pharmacy | 611 W PARK ST URBANA, IL 61801 (217) 383-4687 |
| 1992928386 | MS. MARY WILLIS SLP Individual | Speech-Language Pathologist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1437361862 | DR. MATTHEW JOHN PIKE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 611 W PARK ST URBANA, IL 61801 (217) 383-3252 |
| 1295949675 | MS. ALISA L LAMB MS, ORT-L Individual | Occupational Therapist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1750595120 | MS. LUANN HANSEN MA, CCC-SLP Individual | Speech-Language Pathologist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1144413584 | PROF. STEPHEN ALLEN BOPPART MD/PHD Individual | Internal Medicine | 611 W PARK ST MILLS BREAST CANCER INSTITUTE URBANA, IL 61801 (217) 326-0283 |
| 1629265574 | MS. PATRICIA SCHEETS PT, DPT Individual | Physical Therapist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1336319375 | DR. ERICH GREGORY HANEL MD Individual | Family Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3302 |
| 1972773950 | ASHWIN BALLUPET SHIVAKUMAR MD. MS Individual | Internal Medicine | 611 W PARK ST FORUM LL URBANA, IL 61801 (217) 383-3110 |
| 1861663288 | UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN Organization | Internal Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3110 |
| 1073786273 | MICHELE RENEE HALL MS CCC-SLP Individual | Speech-Language Pathologist | 611 W PARK ST URBANA, IL 61801 (217) 326-0395 |
| 1205002185 | UNIVERSITY OF ILLINOIS Organization | General Acute Care Hospital | 611 W PARK ST CARLE FORUM LOWER LEVEL URBANA, IL 61801 (217) 383-3110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790305563, enumerated in the NPI registry as an "individual" on April 22, 2020
The provider is located at 611 W Park St Urbana, Il 61801 and the phone number is (217) 383-3311
The provider's speciality is Physical Therapist with taxonomy code 225100000X
This NPI record was last updated on April 22, 2020. 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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