AEGIS ON MADISON
NPI 1013332576
Physical Therapist in Seattle, WA

NPI Status: Active since February 20, 2014

Contact Information

2200 E MADISON ST
SEATTLE, WA
ZIP 98112
Phone: (206) 203-6348

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  • Organization
  • Physical Therapist
  • CLIA Number: 50D2086261
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 04-04-2028

About AEGIS ON MADISON

This page provides the complete NPI Profile along with additional information for Aegis On Madison, a provider established in Seattle, Washington operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1013332576 assigned on February 2014. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Aegis On Madison operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Aegis On Madison. The authorized official of this NPI record is Laura Cantrell Pt (Director Of Rehab)

NPI
1013332576
Provider Legal Name
PREMERE REHAB, LLC
Other Organization Name
AEGIS ON MADISON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2200 E MADISON ST SEATTLE, WA 98112
Location Phone
(206) 203-6348
Mailing Address
25117 SW PARKWAY AVE STE D WILSONVILLE, OR 97070
Mailing Phone
(503) 570-3665
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2014
Last Update Date
02-20-2014
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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.

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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, 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.

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

LAURA CANTRELL PT

Authorized Official Title
DIRECTOR OF REHAB
Authorized Official Phone
(360) 901-8111

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2086261
Facility Type
Assisted Living Facility
Certificate Effective Date
October 30, 2014
Certificate Expiration Date
April 04, 2028
Laboratory Director
JULIE AMBACHEW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Aegis On Madison to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013332576, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 6 + 3 + 4 + 5 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1013332576.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Therapist
2200 E MADISON ST
SEATTLE, WA 98112
Physical Therapist
2200 E MADISON ST
SEATTLE, WA 98112
Physical Therapy Assistant
2200 E MADISON ST
SEATTLE, WA 98112
Physical Therapist
2200 E MADISON ST
SEATTLE, WA 98112
Occupational Therapist
2200 E MADISON ST
SEATTLE, WA 98112
Physical Therapy Assistant
2200 E MADISON ST
SEATTLE, WA 98112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013332576, enumerated as an "organization" on February 20, 2014.

The provider is located at 2200 E MADISON ST SEATTLE, WA 98112 and the phone number is (206) 203-6348.

Physical Therapist with taxonomy code 225100000X.