JAMES BIRON PT
NPI 1114015906
Physical Therapist in East Longmeadow, MA
NPI Status: Active since October 10, 2006
Contact Information
80 DENSLOW RD
EAST LONGMEADOW, MA
ZIP 01028
Phone: (413) 526-9969
Fax: (413) 526-9960
- Individual
- Male
- Physical Therapist
About JAMES BIRON
This page provides the complete NPI Profile along with additional information for James Biron, a provider established in East Longmeadow, Massachusetts with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1114015906 assigned on October 2006. The practitioner's primary taxonomy code is 225100000X with license number 8522 (MA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1114015906
- Provider Name
- JAMES BIRON PT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 80 DENSLOW RD EAST LONGMEADOW, MA 01028
- Location Phone
- (413) 526-9969
- Location Fax
- (413) 526-9960
- Mailing Address
- 80 DENSLOW RD EAST LONGMEADOW, MA 01028
- Mailing Phone
- (413) 526-9969
- Mailing Fax
- (413) 526-9960
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-10-2006
- Last Update Date
- 05-14-2008
- Code Navigator
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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 8522
- License State
- MA
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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.
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.
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 |
|---|---|---|---|
| P3276069 | OTHER (01) | MA | OXFORD NON PAR |
| 0359726 | MEDICAID (05) | MA | |
| 080008522MA04 | OTHER (01) | MA | ANTHEM BC BS |
| 103355100 | OTHER (01) | MA | DEPT. OF LABOR |
| 28117 | OTHER (01) | MA | HEALTH NEW ENGLAND |
| Y61264 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD |
| 043527497 | OTHER (01) | MA | CONSOLIDATED |
| 043527497 | OTHER (01) | MA | GREATWEST |
| 043527497 | OTHER (01) | MA | UNITED HEALTHCARE |
| 690675 | OTHER (01) | MA | TUFTS GROUP NO |
| 000000035308 | OTHER (01) | MA | BOSTON MEDICAL HEALTH NET INDIVIDUAL NO |
| Y66897 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD INDIVIDUAL NO |
| 043527497 | OTHER (01) | MA | NORTH REGION/TRICARE |
| 468856 | OTHER (01) | MA | TUFTS INDIVIDUAL NO |
| 000000035264 | OTHER (01) | MA | BOSTON MEDICAL HEALTH NET GROUP NO |
| 0359726 | OTHER (01) | MA | NETWORK HEALTH GROUP |
| 043527497 | OTHER (01) | MA | AETNA |
| 043527497 | OTHER (01) | MA | CIGNA GROUP NO |
| 650021465 | OTHER (01) | MA | PALMETTO RR MEDICARE |
| PT0191 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | GROUP |
| 4543850 | OTHER (01) | MA | AETNA INDIVIDUAL NO |
| 7138200 | OTHER (01) | MA | CIGNA INDIVIDUAL NO |
| 043527 | OTHER (01) | MA | CONNECTICARE |
| 043527497 | OTHER (01) | MA | GIC/UNICARE |
| 043527497 | OTHER (01) | MA | PIONEER |
| 11222560 | OTHER (01) | MA | CAQH |
| Y68641 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | INDIVIDUAL |
| 9715568 | MEDICAID (05) | 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 1114015906, 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 44 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114015906, enumerated as an "individual" on October 10, 2006.
The provider is located at 80 DENSLOW RD EAST LONGMEADOW, MA 01028 and the phone number is (413) 526-9969.
Physical Therapist with taxonomy code 225100000X.
The provider might be accepting Accepts: Oxford Health Plans, Medicare, Medicaid, Anthem. Please consult your insurance carrier or call the provider to verify.
