WALKERSVILLE SPORT & SPINE CLINIC
NPI 1134397722
Physical Therapist - Orthopedic in Walkersville, MD
NPI Status: Active since February 15, 2008
Contact Information
19 WEST FREDERICK STREET
WALKERSVILLE, MD
ZIP 21793
Phone: (301) 662-8541
- Organization
- Physical Therapist
- Orthopedic
- CLIA Number: 21D0220586
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 03-04-2027
About WALKERSVILLE SPORT & SPINE CLINIC
This page provides the complete NPI Profile along with additional information for Walkersville Sport & Spine Clinic, a provider established in Walkersville, Maryland operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1134397722 assigned on February 2008. The practitioner's primary taxonomy code is 2251X0800X with license number 17003 (MD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Walkersville Sport & Spine Clinic. The authorized official of this NPI record is Ms. Connie F Gooding (Billing Specialist)
- NPI
- 1134397722
- Provider Legal Name
- FREDERICK SPORT & SPINE CLINIC
- Other Organization Name
- WALKERSVILLE SPORT & SPINE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 19 WEST FREDERICK STREET WALKERSVILLE, MD 21793
- Location Phone
- (301) 662-8541
- Mailing Address
- 84 THOMAS JOHNSON CT SUITE B FREDERICK, MD 21702
- Mailing Phone
- (301) 662-8541
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-15-2008
- Last Update Date
- 02-15-2008
- 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 Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 17003
- License State
- MD
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
*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 |
|---|---|---|---|
| LK93FRR | OTHER (01) | MD | CAREFIRST |
| 334552 | OTHER (01) | MD | PHCS |
| 2004876 | OTHER (01) | MD | UNITED HEALTHCARE |
| 551810 | OTHER (01) | MD | MAMSI |
| 123M | OTHER (01) | MD | MEDICARE |
| R559 | OTHER (01) | MD | CAREFIRST NAL'L |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0220586
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- March 05, 2025
- Certificate Expiration Date
- March 04, 2027
- Laboratory Director
- DANIELA MIHOVA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Walkersville Sport & Spine Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1134397722, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134397722, enumerated as an "organization" on February 15, 2008.
The provider is located at 19 WEST FREDERICK STREET WALKERSVILLE, MD 21793 and the phone number is (301) 662-8541.
Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.
The provider might be accepting Accepts: Medicare, Medicaid and Private Healthcare Systems. Please consult your insurance carrier or call the provider to verify.
