PEAK PERFORMANCE SPORTS MEDICINE
NPI 1073933966
Clinic/Center - Physical Therapy in Park City, UT

NPI Status: Active since April 18, 2014

Contact Information

2760 RASMUSSEN RD
D2-D3
PARK CITY, UT
ZIP 84098
Phone: (801) 718-5378

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  • Organization
  • Clinic/Center
  • Physical Therapy

About PEAK PERFORMANCE SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Peak Performance Sports Medicine, a provider established in Park City, Utah operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1073933966 assigned on April 2014. The practitioner's primary taxonomy code is 261QP2000X with license number 5080663-2401 (UT). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Peak Performance Sports Medicine. The authorized official of this NPI record is Dr. Jessica Jacobsen Tidswell Pt, Dpt, Scs, Atc (President)

NPI
1073933966
Provider Legal Name
PEAK PERFORMANCE PHYSICAL THERAPY, PC
Other Organization Name
PEAK PERFORMANCE SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2760 RASMUSSEN RD D2-D3 PARK CITY, UT 84098
Location Phone
(801) 718-5378
Mailing Address
515 ASPEN DRIVE PARK CITY, UT 84098
Mailing Phone
(801) 718-5378
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2014
Last Update Date
05-01-2014
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
5080663-2401
License State
UT
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.

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

DR. JESSICA JACOBSEN TIDSWELL PT, DPT, SCS, ATC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(801) 718-5378

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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 1073933966, 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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 7 → 14 → 5 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 1 + 8 + 3 + 6 + 9 + 1 + 2 + 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 1073933966.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
2760 RASMUSSEN RD, STE 205
PARK CITY, UT 84098
Counselor (Professional)
2760 RASMUSSEN RD, BUILDING D, SUITE 205
PARK CITY, UT 84098
Occupational Therapist (Pediatrics)
2760 RASMUSSEN RD
PARK CITY, UT 84098
Marriage & Family Therapist
2760 RASMUSSEN RD, 200
PARK CITY, UT 84098
Psychologist (Clinical)
2760 RASMUSSEN RD, BLDG. D, SUITE 200
PARK CITY, UT 84098
Clinic/Center (Physical Therapy)
2760 RASMUSSEN RD, SUITES D2-D3
PARK CITY, UT 84098
Physical Therapist
2760 RASMUSSEN RD, SUITE D2-D3
PARK CITY, UT 84098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073933966, enumerated as an "organization" on April 18, 2014.

The provider is located at 2760 RASMUSSEN RD D2-D3 PARK CITY, UT 84098 and the phone number is (801) 718-5378.

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