CORE PHYSICAL THERAPY KELLER
NPI 1164172912
Clinic/Center - Physical Therapy in Keller, TX

NPI Status: Active since March 25, 2022

Contact Information

601 S MAIN ST STE 105
KELLER, TX
ZIP 76248
Phone: (501) 580-8352

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  • Organization
  • Clinic/Center
  • Physical Therapy

About CORE PHYSICAL THERAPY KELLER

This page provides the complete NPI Profile along with additional information for Core Physical Therapy Keller, a provider established in Keller, Texas operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1164172912 assigned on March 2022. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nicole Tate (Credentialing)

NPI
1164172912
Provider Name
CORE PHYSICAL THERAPY KELLER
Entity Type
Organization
Location Address
601 S MAIN ST STE 105 KELLER, TX 76248
Location Phone
(501) 580-8352
Mailing Address
901 W BARDIN RD STE 100 ARLINGTON, TX 76017
Mailing Phone
(817) 200-6492
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-25-2022
Last Update Date
03-25-2022
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An 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.

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)
1207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

 
2261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 
3261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

Group Taxonomy 193400000X MULTIPLE 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.

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

NICOLE TATE

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(817) 200-6492

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1164172912
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112427492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 2 + 7 + 4 + 9 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1164172912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

COREY TUCKER PTA

Physical Therapy Assistant

601 S MAIN ST STE 105
KELLER, TX
ZIP 76248

(972) 393-8067

GRAYSON HOLLIS DPT

Physical Medicine & Rehabilitation

601 S MAIN ST STE 105
KELLER, TX
ZIP 76248

(972) 393-8067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164172912, enumerated as an "organization" on March 25, 2022.

The provider is located at 601 S MAIN ST STE 105 KELLER, TX 76248 and the phone number is (501) 580-8352.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.