PROSPECT SPORTS MEDICINE & REHABILITATION
NPI 1790830255
Physical Therapist in Manchester, ME

NPI Status: Active since January 24, 2007

Contact Information

6 ROCKWOOD DR.
SUITE #2
MANCHESTER, ME
ZIP 04351
Phone: (207) 626-3333
Fax: (207) 626-3334

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  • Organization
  • Physical Therapist

About PROSPECT SPORTS MEDICINE & REHABILITATION

This page provides the complete NPI Profile along with additional information for Prospect Sports Medicine & Rehabilitation, a provider established in Manchester, Maine operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1790830255 assigned on January 2007. The practitioner's primary taxonomy code is 225100000X with license number PT2546 (ME). The provider is registered as an organization and their NPI record was last updated 5 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 provider's other name is Prospect Sports Medicine & Rehabilitation. The authorized official of this NPI record is Mr. David James Pickle Mspt (Ceo)

NPI
1790830255
Provider Legal Name
PROSPECT INC.
Other Organization Name
PROSPECT SPORTS MEDICINE & REHABILITATION
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
6 ROCKWOOD DR. SUITE #2 MANCHESTER, ME 04351
Location Phone
(207) 626-3333
Location Fax
(207) 626-3334
Mailing Address
6 ROCKWOOD DRIVE SUITE #2 MANCHESTER, ME 04351
Mailing Phone
(207) 626-3333
Mailing Fax
(207) 626-3334
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2007
Last Update Date
08-22-2020
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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
License No.
PT2546
License State
ME
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.

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

MR. DAVID JAMES PICKLE MSPT

Authorized Official Title
CEO
Authorized Official Phone
(207) 626-3333

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
060722OTHER (01)MEBLUE CROSS, BLUE SHIELD

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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.
1790830255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801630210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 3 + 0 + 2 + 1 + 0 + 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 1790830255 is valid because the calculated check digit 5 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 1790830255, enumerated in the NPI registry as an "organization" on January 24, 2007

The provider is located at 6 Rockwood Dr. Suite #2 Manchester, Me 04351 and the phone number is (207) 626-3333

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

The provider might be accepting Accepts: Blue Cross Blue Shield, 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 January 24, 2007. 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.