JACKSON HAND AND UPPER EXTREMITY
NPI 1154753986
Occupational Therapist - Hand in Jackson, MS

NPI Status: Active since August 02, 2013

Contact Information

1904 LAKELAND DR
SUITE D
JACKSON, MS
ZIP 39216
Phone: (601) 942-2709
Fax: (601) 944-9780

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

About JACKSON HAND AND UPPER EXTREMITY

This page provides the complete NPI Profile along with additional information for Jackson Hand And Upper Extremity, a provider established in Jackson, Mississippi operating as a Occupational Therapist, focusing in hand . The healthcare provider is registered in the NPI registry with number 1154753986 assigned on August 2013. The practitioner's primary taxonomy code is 225XH1200X with license number 45OT073 (MS). The provider is registered as an organization and their NPI record was last updated 12 years ago. Jackson Hand And Upper Extremity operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Robyn Roberts Pt (Owner)

NPI
1154753986
Provider Name
JACKSON HAND AND UPPER EXTREMITY
Entity Type
Organization
Location Address
1904 LAKELAND DR SUITE D JACKSON, MS 39216
Location Phone
(601) 942-2709
Location Fax
(601) 944-9780
Mailing Address
1904 LAKELAND DR SUITE D JACKSON, MS 39216
Mailing Phone
(601) 942-2709
Mailing Fax
(601) 944-9780
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2013
Last Update Date
07-08-2014
Code Navigator



Jackson Hand And Upper Extremity is a medicare supplier with PTAN 20511677 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: Contracture Treatment Devices: Dynamic Splint or Heat & Cold Applications or Neuromuscular Elect Stimulators (NMES)/Supplies or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Surgical Dressings.

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
License No.
45OT073
License State
MS

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

PT0987 (MS)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ROBYN ROBERTS PT

Authorized Official Title
OWNER
Authorized Official Phone
(601) 942-2709

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
6932800001MEDICARE NSC (07)MS 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20511677
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Provider Type List
INDEPENDENTLY-PRACTICING PHYSICAL THERAPIST, INDEPENDENTLY-PRACTICING OCCUPATIONAL THERAPIST.
Competitive Bidding
NO

Supplies List

  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • 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
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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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 1154753986, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 5 → 10 → 1 7 → 14 → 5 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 4 + 5 + 6 + 9 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154753986.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Specialist
1904 LAKELAND DR, SUITE D
JACKSON, MS 39216
Physical Therapist
1904 LAKELAND DR, SUITE D
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154753986, enumerated as an "organization" on August 02, 2013.

The provider is located at 1904 LAKELAND DR SUITE D JACKSON, MS 39216 and the phone number is (601) 942-2709.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.