POTENTIAL THERAPY SERVICES LLC NPI 1104379353

Clinic/Center (Physical Therapy) in Ste Genevieve, MO

NPI 1104379353 Organization Clinic/Center Physical Therapy

NPI Profile for POTENTIAL THERAPY SERVICES LLC

Potential Therapy Services Llc is a provider established in Ste Genevieve, Missouri specializing in clinic/center (physical therapy) . The NPI number of Potential Therapy Services Llc is 1104379353 and was assigned on July 2016. The practitioner's primary taxonomy code is 261QP2000X with license number 2001001890 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Tyler R Brown Pt (Owner)

NPI

1104379353

Provider NamePOTENTIAL THERAPY SERVICES LLC
Provider Location Address233 MERCHANT ST STE GENEVIEVE, MO 63670
Provider Mailing Address11751 ROYAL OAK CT STE GENEVIEVE, MO 63670
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-24-2016
Last Update Date07-24-2016


Primary Taxonomy

Taxonomy Code261QP2000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
License No.2001001890
License StateMO
Taxonomy DescriptionAn 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.

Business Address

POTENTIAL THERAPY SERVICES LLC
233 MERCHANT ST
STE GENEVIEVE, MO
ZIP 63670
Phone: (573) 883-0847

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Mailing Address

POTENTIAL THERAPY SERVICES LLC
11751 ROYAL OAK CT
STE GENEVIEVE, MO
ZIP 63670
Phone:



Authorized Official

Authorized Official NameMR. TYLER R BROWN PT
Authorized Official TitleOWNER
Authorized Official Phone(573) 883-0847

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104379353
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21046718310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 6 + 7 + 1 + 8 + 3 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1104379353 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Potential Therapy Services Llc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.