VINEYARD COMPLEMENTARY MEDICINE, INC
NPI 1053490896
Clinic/Center - Physical Therapy in Edgartown, MA

NPI Status: Active since November 03, 2006

Contact Information

238 EDGARTOWN VINEYARD HAVEN ROAD
UNIT 1
EDGARTOWN, MA
ZIP 02539
Phone: (508) 693-3800
Fax: (508) 693-7473

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance

About VINEYARD COMPLEMENTARY MEDICINE, INC

This page provides the complete NPI Profile along with additional information for Vineyard Complementary Medicine, Inc, a provider established in Edgartown, Massachusetts operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1053490896 assigned on November 2006. The practitioner's primary taxonomy code is 261QP2000X with license number 687 (MA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Vineyard Complementary Medicine, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Susan A Sanford Pt (President/ceo)

NPI
1053490896
Provider Name
VINEYARD COMPLEMENTARY MEDICINE, INC
Entity Type
Organization
Location Address
238 EDGARTOWN VINEYARD HAVEN ROAD UNIT 1 EDGARTOWN, MA 02539
Location Phone
(508) 693-3800
Location Fax
(508) 693-7473
Mailing Address
PO BOX 1760 EDGARTOWN, MA 02539
Mailing Phone
(508) 693-3800
Mailing Fax
(508) 693-7473
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2006
Last Update Date
12-01-2020
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Location Map

Secondary Locations

  • 455 State Rd
    Vineyard Haven, MA 02568
    (508) 693-3800
  • 9 Main St
    Vineyard Haven, MA 02568
    (508) 693-3800
  • 426 State Rd
    Vineyard Haven, MA 02568
    (508) 693-3800

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 Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
687
License State
MA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
3261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

 

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:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - 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.

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

SUSAN A SANFORD PT

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(508) 693-3800

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
AA52541OTHER (01)HPHC
Y61445OTHER (01)MABCBS OF MA

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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 1053490896, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 5 → 10 → 1 4 → 8 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 8 + 9 + 0 + 8 + 1 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053490896.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Massage Therapist
238 EDGARTOWN VINEYARD HAVEN ROAD
EDGARTOWN, MA 02539
Acupuncturist
238 EDGARTOWN VINEYARD HAVEN ROAD, UNIT 1
EDGARTOWN, MA 02539
Occupational Therapist
238 EDGARTOWN VINEYARD HAVEN ROAD
EDGARTOWN, MA 02539
Physical Therapist
238 EDGARTOWN VINEYARD HAVEN ROAD
EDGARTOWN, MA 02539
Chiropractor
238 EDGARTOWN VINEYARD HAVEN ROAD, UNIT 1
EDGARTOWN, MA 02539

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053490896, enumerated as an "organization" on November 03, 2006.

The provider is located at 238 EDGARTOWN VINEYARD HAVEN ROAD UNIT 1 EDGARTOWN, MA 02539 and the phone number is (508) 693-3800.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

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