JAD THERAPY LLC
NPI 1235239625
Clinic/Center - Medical Specialty in Crystal River, FL

NPI Status: Active since September 25, 2006

Contact Information

1669 SE HIGHWAY 19
CRYSTAL RIVER, FL
ZIP 34429
Phone: (352) 563-2407
Fax: (352) 563-2807

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  • Organization
  • Clinic/Center
  • Medical Specialty

About JAD THERAPY LLC

This page provides the complete NPI Profile along with additional information for Jad Therapy Llc, a provider established in Crystal River, Florida operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1235239625 assigned on September 2006. The practitioner's primary taxonomy code is 261QM2500X with license number OS 0006090 (FL). 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 James Arthur Derrenbacker Jr. D.o. (Ceo)

NPI
1235239625
Provider Name
JAD THERAPY LLC
Entity Type
Organization
Location Address
1669 SE HIGHWAY 19 CRYSTAL RIVER, FL 34429
Location Phone
(352) 563-2407
Location Fax
(352) 563-2807
Mailing Address
P.O. BOX 2154 CRYSTAL RIVER, FL 34423
Mailing Phone
(352) 563-2407
Mailing Fax
(352) 563-2807
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2006
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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
OS 0006090
License State
FL
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

JAMES ARTHUR DERRENBACKER JR. D.O.

Authorized Official Title
CEO
Authorized Official Phone
(352) 563-2407

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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.
1235239625
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265431864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 3 + 1 + 8 + 6 + 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 = 55

The NPI number 1235239625 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC

Internal Medicine

1669 SE HIGHWAY 19
CRYSTAL RIVER, FL
ZIP 34429

(352) 563-2407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235239625, enumerated as an "organization" on September 25, 2006.

The provider is located at 1669 SE HIGHWAY 19 CRYSTAL RIVER, FL 34429 and the phone number is (352) 563-2407.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.