PROLIANCE SPORTS THERAPY AND REHAB OF BELLEVUE
NPI 1104474808
Occupational Therapist - Hand in Bellevue, WA

NPI Status: Active since August 27, 2019

Contact Information

3101 NORTHUP WAY STE 301
BELLEVUE, WA
ZIP 98004
Phone: (425) 462-5006
Fax: (425) 462-5019

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  • Organization
  • Occupational Therapist
  • Hand
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PROLIANCE SPORTS THERAPY AND REHAB OF BELLEVUE

This page provides the complete NPI Profile along with additional information for Proliance Sports Therapy And Rehab Of Bellevue, a provider established in Bellevue, Washington operating as a Occupational Therapist, focusing in hand . The healthcare provider is registered in the NPI registry with number 1104474808 assigned on August 2019. The practitioner's primary taxonomy code is 225XH1200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Proliance Sports Therapy And Rehab Of Bellevue. The authorized official of this NPI record is Cori M. Pleasant (Credentialing & Enrollment Manager)

NPI
1104474808
Provider Legal Name
PROLIANCE SURGEONS, INC., P.S.
Other Organization Name
PROLIANCE SPORTS THERAPY AND REHAB OF BELLEVUE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3101 NORTHUP WAY STE 301 BELLEVUE, WA 98004
Location Phone
(425) 462-5006
Location Fax
(425) 462-5019
Mailing Address
510 8TH AVE NE STE 320 ISSAQUAH, WA 98029
Mailing Phone
(425) 507-0733
Mailing Fax
(425) 462-5019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2019
Last Update Date
03-23-2023
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Proliance Sports Therapy And Rehab Of Bellevue is a medicare supplier with PTAN 20658347 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Heat & Cold Applications or Canes and/or Crutches or Walkers or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

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

Occupational Therapist Hand

Taxonomy Code
225XH1200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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

 

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

CORI M. PLEASANT

Authorized Official Title
CREDENTIALING & ENROLLMENT MANAGER
Authorized Official Phone
(206) 838-2585

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20658347
Accepts Medicare Assignment
YES
Provider Type List
PHYSICIAN ASSISTANT, PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY, MULTI-SPECIALTY - PHYSICIAN.
Competitive Bidding
NO

Supplies List

  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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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 1104474808, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 0 → 0 4 → 8 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 8 + 7 + 8 + 8 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104474808.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapist
3101 NORTHUP WAY STE 301
BELLEVUE, WA 98004
Occupational Therapist (Hand)
3101 NORTHUP WAY STE 301
BELLEVUE, WA 98004
Physical Therapist (Hand)
3101 NORTHUP WAY STE 301
BELLEVUE, WA 98004
Occupational Therapist
3101 NORTHUP WAY STE 301
BELLEVUE, WA 98004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104474808, enumerated as an "organization" on August 27, 2019.

The provider is located at 3101 NORTHUP WAY STE 301 BELLEVUE, WA 98004 and the phone number is (425) 462-5006.

Occupational Therapist with taxonomy code 225XH1200X and a focus in Hand.