GOOD SAMARITAN PHYSICAL THERAPY,INC.
NPI 1023087855
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Vicksburg, MS

NPI Status: Active since March 15, 2006

Contact Information

1901 MISSION 66
SUITE A
VICKSBURG, MS
ZIP 39180
Phone: (601) 638-4076
Fax: (601) 638-4979

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About GOOD SAMARITAN PHYSICAL THERAPY,INC.

This page provides the complete NPI Profile along with additional information for Good Samaritan Physical Therapy,inc., a provider established in Vicksburg, Mississippi operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1023087855 assigned on March 2006. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Fermika Smith (Billing Manager)

NPI
1023087855
Provider Name
GOOD SAMARITAN PHYSICAL THERAPY,INC.
Entity Type
Organization
Location Address
1901 MISSION 66 SUITE A VICKSBURG, MS 39180
Location Phone
(601) 638-4076
Location Fax
(601) 638-4979
Mailing Address
PO BOX 822394 VICKSBURG, MS 39182
Mailing Phone
(601) 638-4076
Mailing Fax
(601) 638-4979
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2006
Last Update Date
07-21-2022
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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 Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities
License State
MS

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 
3332BN1400XSuppliers

Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies

 
4332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

 
5332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

 

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.

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

MRS. FERMIKA SMITH

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(601) 638-4076

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
6430026OTHER (01)MSUNITED HEALTH CARE NUMBER
000050976OTHER (01)MSBLUE CROSS NUMBER
174112500OTHER (01)MSOWCP
09015117MEDICAID (05)MS 
5429586OTHER (01)MSAETNA PROVIDER NUMBER
4253810001OTHER (01)MSDME
1465739MEDICAID (05)LA 

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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 1023087855, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 2 → 4 0 → 0 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 0 + 8 + 1 + 4 + 8 + 1 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023087855.

Other Providers at the Same Location


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

Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Nurse Practitioner (Family)
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Nurse Practitioner
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Internal Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Occupational Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Physical Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Speech-Language Pathologist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Speech-Language Pathologist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Occupational Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Physical Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Speech-Language Pathologist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023087855, enumerated as an "organization" on March 15, 2006.

The provider is located at 1901 MISSION 66 SUITE A VICKSBURG, MS 39180 and the phone number is (601) 638-4076.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.