SOUTHSIDE PHYSICAL THERAPY, INC
NPI 1255882635
Clinic/Center - Physical Therapy in Bend, OR
NPI Status: Active since October 20, 2016
Contact Information
121 NW GREENWOOD AVE STE 101
BEND, OR
ZIP 97703
Phone: (541) 388-2681
Fax: (541) 388-9236
- Organization
- Clinic/Center
- Physical Therapy
- Accepts Insurance
About SOUTHSIDE PHYSICAL THERAPY, INC
This page provides the complete NPI Profile along with additional information for Southside Physical Therapy, Inc, a provider established in Bend, Oregon operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1255882635 assigned on October 2016. The practitioner's primary taxonomy code is 261QP2000X with license number 16869140 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Southside Physical Therapy, Inc. The authorized official of this NPI record is Jonathan P Sampson (President/owner)
- NPI
- 1255882635
- Provider Legal Name
- SAMPSON PHYSICAL THERAPY, INC
- Other Organization Name
- SOUTHSIDE PHYSICAL THERAPY, INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 121 NW GREENWOOD AVE STE 101 BEND, OR 97703
- Location Phone
- (541) 388-2681
- Location Fax
- (541) 388-9236
- Mailing Address
- 121 NW GREENWOOD AVE STE 101 BEND, OR 97703
- Mailing Phone
- (541) 388-2681
- Mailing Fax
- (541) 388-9236
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2016
- Last Update Date
- 05-17-2024
- 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
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 16869140
- License State
- OR
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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. | |||||||||
| 1 | 2 | 5 | 5 | 8 | 8 | 2 | 6 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 16 | 8 | 4 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 6 + 8 + 4 + 6 + 6 + 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 1255882635 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.
HANNAH SCHONAU CARLSEN DPT
Physical Therapist
121 NW GREENWOOD AVE STE 101
BEND, OR
ZIP 97703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255882635, enumerated as an "organization" on October 20, 2016.
The provider is located at 121 NW GREENWOOD AVE STE 101 BEND, OR 97703 and the phone number is (541) 388-2681.
Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.
