OUTBACK PHYSIOTHERAPY CENTRE, INC.
NPI 1205882875
Clinic/Center - Physical Therapy in Redlands, CA

NPI Status: Active since May 25, 2006

Contact Information

1189 W STATE ST
REDLANDS, CA
ZIP 92373
Phone: (909) 307-9121
Fax: (909) 307-9161

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Physical Therapy

About OUTBACK PHYSIOTHERAPY CENTRE, INC.

This page provides the complete NPI Profile along with additional information for Outback Physiotherapy Centre, Inc., a provider established in Redlands, California operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1205882875 assigned on May 2006. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kristine Kubose Pt (Ceo)

NPI: 1205882875
Provider Name: OUTBACK PHYSIOTHERAPY CENTRE, INC.
Entity Type: Organization
Location Address: 1189 W STATE ST REDLANDS, CA 92373
Location Phone: (909) 307-9121
Location Fax: (909) 307-9161
Mailing Address: 1189 W STATE ST REDLANDS, CA 92373
Mailing Phone: (909) 307-9121
Mailing Fax: (909) 307-9161
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-25-2006
Last Update Date: 08-22-2020
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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.

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: KRISTINE KUBOSE PT
Authorized Official Title: CEO
Authorized Official Phone: (909) 307-9121

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.
1	2	0	5	8	8	2	8	7	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	0	5	16	8	4	8	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 8 + 4 + 8 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1205882875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.