MR. SAMUEL T ANAYA PT DPT OCS MTC
NPI 1255511036
Physical Therapist in Tucson, AZ


Quality Rating: 95.34 out of 100 score

NPI Status: Active since November 08, 2007

Contact Information

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704
Phone: (520) 219-5825
Fax: (520) 219-5827

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  • Individual
  • Male
  • Physical Therapist
  • Accepts Insurance

About SAMUEL ANAYA

This page provides the complete NPI Profile along with additional information for Samuel Anaya, a provider established in Tucson, Arizona with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1255511036 assigned on November 2007. The practitioner's primary taxonomy code is 225100000X with license number LPT-002414 (AZ). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1255511036
Provider Name
MR. SAMUEL T ANAYA PT DPT OCS MTC
Other Name
SAM T ANAYA DPT
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
6970 N ORACLE RD STE 130 TUCSON, AZ 85704
Location Phone
(520) 219-5825
Location Fax
(520) 219-5827
Mailing Address
600 OAKMONT LN STE 600C WESTMONT, IL 60559
Mailing Phone
(630) 575-1980
Mailing Fax
(520) 219-5827
Is Sole Proprietor?
Yes
Enumeration Date
11-08-2007
Last Update Date
10-23-2019
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Location Map

Secondary Locations

  • 165 W Ajo Way
    Tucson, AZ 85713
    (520) 294-9334

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

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
LPT-002414
License State
AZ
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

2414 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue ACA StandardHealth Silver with Health Choice - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 22 times for 21 patients

Re-evaluation for physical therapy, typically 20 minutes

A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.

This service was performed 19 times for 18 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 102 times for 14 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 326 times for 32 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 302 times for 34 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 241 times for 24 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.34, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 95.34 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 94.52

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MR. SAMUEL T ANAYA PT DPT OCS MTC

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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.
1255511036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105101206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 1 + 2 + 0 + 6 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1255511036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

MS. CELINA RAQUEL GASTELLUM P.T.A.

Physical Therapy Assistant

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 219-5825

MR. JAMES GILBERT OETTER PT

Physical Therapist

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 219-5825

NATHAN TENNEY P.T.

Physical Therapist

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 219-5825

ZACHARY CHARLES HINES P.T.

Physical Therapist

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 573-1443

BENJAMIN O'DELL PT, DPT

Physical Therapist

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 219-5825

MAREK KOZIEL PT DSC

Physical Therapist

(Orthopedic)

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 219-5825

DR. TERESA LEMM BROWN P.T., D.P.T.

Physical Therapist

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 219-5825

KATIE L CELAYA PT, DPT

Physical Therapist

6970 N ORACLE RD STE 130
TUCSON, AZ
ZIP 85704

(520) 219-5825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255511036, enumerated as an "individual" on November 08, 2007.

The provider is located at 6970 N ORACLE RD STE 130 TUCSON, AZ 85704 and the phone number is (520) 219-5825.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.