MS. JULIE A BERRIDGE PT CHT
NPI 1093833055
Physical Therapist - Hand in Houston, TX


Quality Rating: 79.22 out of 100 score

NPI Status: Active since March 27, 2007

Contact Information

17270 RED OAK DR
SUITE 200
HOUSTON, TX
ZIP 77090
Phone: (281) 440-6960
Fax: (281) 440-6205

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  • Individual
  • Female
  • Physical Therapist
  • Hand
  • Accepts Insurance

About JULIE BERRIDGE

This page provides the complete NPI Profile along with additional information for Julie Berridge, a provider established in Houston, Texas with a medical specialization in Physical Therapist, focusing in hand . The healthcare provider is registered in the NPI registry with number 1093833055 assigned on March 2007. The practitioner's primary taxonomy code is 2251H1200X with license number 9911000219 (OR). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1093833055
Provider Name
MS. JULIE A BERRIDGE PT CHT
Gender
Female
Entity Type
Individual
Location Address
17270 RED OAK DR SUITE 200 HOUSTON, TX 77090
Location Phone
(281) 440-6960
Location Fax
(281) 440-6205
Mailing Address
P.O. BOX 4356 DEPT. 665 HOUSTON, TX 77210
Mailing Phone
(281) 440-6960
Mailing Fax
(281) 440-6205
Is Sole Proprietor?
No
Enumeration Date
03-27-2007
Last Update Date
04-16-2015
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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

Physical Therapist Hand

Taxonomy Code
2251H1200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
9911000219
License State
OR

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

4346 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - 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
TXB161628MEDICARE PIN (08)TX 
1088466OTHER (01)TXLICENSE

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.22, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 79.22 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 74.45

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 93

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 62.13

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 62.13

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MS. JULIE A BERRIDGE PT CHT

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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 1093833055, 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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
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 9 → 18 → 9 8 → 16 → 7 3 → 6 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 + 1 + 8 + 3 + 1 + 6 + 3 + 6 + 0 + 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 1093833055.

Other Providers at the Same Location


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

Occupational Therapist
17270 RED OAK DR, STE 200
HOUSTON, TX 77090
Physical Therapist
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physician Assistant
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Occupational Therapist (Hand)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physical Therapist
17270 RED OAK DR, STE 100
HOUSTON, TX 77090
Occupational Therapist (Hand)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Occupational Therapist (Hand)
17270 RED OAK DR, 200
HOUSTON, TX 77090
Physical Therapy Assistant
17270 RED OAK DR, 100
HOUSTON, TX 77090
Durable Medical Equipment & Medical Supplies
17270 RED OAK DR, STE 180
HOUSTON, TX 77090
Physical Therapist
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physician Assistant
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Orthopaedic Surgery
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Pain Medicine (Pain Medicine)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physical Therapist
17270 RED OAK DR
HOUSTON, TX 77090
Physician Assistant
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Clinic/Center (Multi-Specialty)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Durable Medical Equipment & Medical Supplies (Customized Equipment)
17270 RED OAK DR, STE 120
HOUSTON, TX 77090
Orthopaedic Surgery
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physical Therapist (Orthopedic)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090
Physical Therapist (Orthopedic)
17270 RED OAK DR, SUITE 200
HOUSTON, TX 77090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093833055, enumerated as an "individual" on March 27, 2007.

The provider is located at 17270 RED OAK DR SUITE 200 HOUSTON, TX 77090 and the phone number is (281) 440-6960.

Physical Therapist with taxonomy code 2251H1200X and a focus in Hand.

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