MRS. PHYLLIS R ROSS OTR/L, CHT, CLT
NPI 1184686453
Occupational Therapist - Hand in Newport News, VA

NPI Status: Active since April 04, 2006

Contact Information

11712 JEFFERSON AVE
SUITE D
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 595-4880
Fax: (757) 595-4886

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  • Individual
  • Female
  • Years of Experience 16
  • Occupational Therapist
  • Hand
  • Accepts Medicare Approved Payment

About PHYLLIS ROSS

This page provides the complete NPI Profile along with additional information for Phyllis Ross, a provider established in Newport News, Virginia with a medical specialization in Occupational Therapist, focusing in hand and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1184686453 assigned on April 2006. The practitioner's primary taxonomy code is 225XH1200X with license number 0119002028 (VA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1184686453
Provider Name
MRS. PHYLLIS R ROSS OTR/L, CHT, CLT
Gender
Female
Entity Type
Individual
Location Address
11712 JEFFERSON AVE SUITE D NEWPORT NEWS, VA 23606
Location Phone
(757) 595-4880
Location Fax
(757) 595-4886
Mailing Address
600 KANAWAH RUN YORKTOWN, VA 23693
Mailing Phone
(757) 595-4880
Mailing Fax
(757) 595-4886
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
04-04-2006
Last Update Date
06-09-2008
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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

Occupational Therapist Hand

Taxonomy Code
225XH1200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
0119002028
License State
VA

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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

0119002028 (VA)
2225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Human Factors

0119002028 (VA)
3225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Neurorehabilitation

0119002028 (VA)
4225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Pediatrics

0119002028 (VA)
5226300000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Kinesiotherapist

0119002028 (VA)

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.

*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
008948721MEDICAID (05)VA 
00V149P73MEDICARE PIN (08)VA 
2062541OTHER (01)VAMAIL HANDLERS BENIFITS
P00204753OTHER (01)VAMEDICARE RAILROAD
7202455OTHER (01)VAAETNA
4651840001MEDICARE NSC (07)VA 
70510OTHER (01)VAVETRI SYSTEMS
2101706OTHER (01)VAMAMSI / GEHA
2101706OTHER (01)VAALLIANCE PPO
462361OTHER (01)VAANTHEM BC/BS

Medicare Participation & PECOS Enrollment Status

Phyllis Ross is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 244334696

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120112000361

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for occupational therapy, typically 1 hour

An evaluation for occupational therapy is a process that assesses your ability to perform daily life tasks. This one-hour session looks at your physical, cognitive, and emotional abilities. It helps tailor a personalized therapy plan to improve your functional skills.

This service was performed 60 times for 57 patients

Re-evaluation for occupational therapy, typically 30 minutes

A re-evaluation for occupational therapy is a 30-minute session where your therapist assesses your progress and updates your treatment plan. It's crucial to ensure the therapy continues to meet your needs and help improve your daily living skills.

This service was performed 117 times for 56 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 2,895 times for 70 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 2,032 times for 71 patients

Training for self-care or home management, each 15 minutes

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

This service was performed 14 times for 12 patients

Reviews for MRS. PHYLLIS R ROSS OTR/L, CHT, CLT

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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 1184686453, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 1 + 2 + 8 + 1 + 2 + 4 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1184686453.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Occupational Therapist (Hand)
11712 JEFFERSON AVE, SUITE D
NEWPORT NEWS, VA 23606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184686453, enumerated as an "individual" on April 04, 2006.

The provider is located at 11712 JEFFERSON AVE SUITE D NEWPORT NEWS, VA 23606 and the phone number is (757) 595-4880.

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

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