PEDIATRIC THERAPY SERVICE
NPI 1205099934
Physical Therapist - Pediatrics in Arlington, TN
NPI Status: Active since July 02, 2008
Contact Information
11315 MCCORMICK RD
ARLINGTON, TN
ZIP 38002
Phone: (901) 292-5313
- Organization
- Physical Therapist
- Pediatrics
- Accepts Insurance
- CLIA Number: 44D2141626
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2026
About PEDIATRIC THERAPY SERVICE
This page provides the complete NPI Profile along with additional information for Pediatric Therapy Service, a provider established in Arlington, Tennessee operating as a Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1205099934 assigned on July 2008. The practitioner's primary taxonomy code is 2251P0200X with license number PT4292 (MS). The provider is registered as an organization and their NPI record was last updated 18 years ago. Pediatric Therapy Service 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 Karen K. Sisco Pt (Sole Proprietor)
- NPI
- 1205099934
- Provider Name
- PEDIATRIC THERAPY SERVICE
- Entity Type
- Organization
- Location Address
- 11315 MCCORMICK RD ARLINGTON, TN 38002
- Location Phone
- (901) 292-5313
- Mailing Address
- 11315 MCCORMICK RD ARLINGTON, TN 38002
- Mailing Phone
- (901) 292-5313
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2008
- Last Update Date
- 07-02-2008
- 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 Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT4292
- License State
- MS
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
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 |
|---|---|---|---|
| 08602897 | MEDICAID (05) | MS |
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
- 44D2141626
- Facility Type
- Physician Office
- Certificate Effective Date
- March 27, 2024
- Certificate Expiration Date
- March 26, 2026
- Laboratory Director
- MARY JOAN WEST CRAIG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Therapy Service after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1205099934, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205099934, enumerated as an "organization" on July 02, 2008.
The provider is located at 11315 MCCORMICK RD ARLINGTON, TN 38002 and the phone number is (901) 292-5313.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
