BROAD RIVER REHAB
NPI 1902317589
Occupational Therapist in Charlotte, NC
NPI Status: Active since October 23, 2017
Contact Information
9120 WILLOW RIDGE RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 275-5336
- Organization
- Occupational Therapist
- Accepts Insurance
About BROAD RIVER REHAB
This page provides the complete NPI Profile along with additional information for Broad River Rehab, a provider established in Charlotte, North Carolina operating as a Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1902317589 assigned on October 2017. The practitioner's primary taxonomy code is 225X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Broad River Rehab operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Broad River Rehab. The authorized official of this NPI record is Manning Mcgraw (Ceo)
- NPI
- 1902317589
- Provider Legal Name
- BROAD RIVER REHABILITATION
- Other Organization Name
- BROAD RIVER REHAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9120 WILLOW RIDGE RD CHARLOTTE, NC 28210
- Location Phone
- (704) 275-5336
- Mailing Address
- 1 POND ST ARDEN, NC 28704
- Mailing Phone
- (828) 774-5222
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2017
- Last Update Date
- 11-28-2022
- 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
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - 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.
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 |
|---|---|---|---|
| 1902317589 | MEDICAID (05) | NC |
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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 | 9 | 0 | 2 | 3 | 1 | 7 | 5 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 6 | 1 | 14 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 6 + 1 + 1 + 4 + 5 + 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 = 9 | 9 | ||||||||
The NPI number 1902317589 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851524698 | SH CHARLOTTE REGENCY LEASING LLC Organization | Assisted Living Facility | 9120 WILLOW RIDGE RD CHARLOTTE, NC 28210 (704) 542-9449 |
| 1720171903 | FELICIA ROBINSON MOODY SLP Individual | Speech-Language Pathologist | 9120 WILLOW RIDGE RD CHARLOTTE, NC 28210 (704) 266-6289 |
| 1760773600 | WHINLEY HASSETT QUAN CHUA RPT Individual | Physical Therapist | 9120 WILLOW RIDGE RD CHARLOTTE, NC 28210 (704) 815-9000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902317589, enumerated in the NPI registry as an "organization" on October 23, 2017
The provider is located at 9120 Willow Ridge Rd Charlotte, Nc 28210 and the phone number is (704) 275-5336
This medical organization specializes in Occupational Therapist with taxonomy code 225X00000X
The provider might be accepting Accepts: UnitedHealthcare, 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 23, 2017. 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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