SPORTS PRO PHYSICAL THERAPY LLC
NPI 1285611608
Physical Therapist in Upper Marlboro, MD

NPI Status: Active since December 28, 2005

Contact Information

9440 PENNSYLVANIA AVE
# 215
UPPER MARLBORO, MD
ZIP 20772
Phone: (301) 599-8899
Fax: (301) 599-8878

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  • Organization
  • Physical Therapist

About SPORTS PRO PHYSICAL THERAPY LLC

This page provides the complete NPI Profile along with additional information for Sports Pro Physical Therapy Llc, a provider established in Upper Marlboro, Maryland operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1285611608 assigned on December 2005. The practitioner's primary taxonomy code is 225100000X with license number 18090 (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Daryl Andrew Clarke Pt (Director Of Pt Owner)

NPI
1285611608
Provider Name
SPORTS PRO PHYSICAL THERAPY LLC
Entity Type
Organization
Location Address
9440 PENNSYLVANIA AVE # 215 UPPER MARLBORO, MD 20772
Location Phone
(301) 599-8899
Location Fax
(301) 599-8878
Mailing Address
12200 ANNAPOLIS RD #119 GLENN DALE, MD 20769
Mailing Phone
(301) 599-8899
Mailing Fax
(301) 599-8878
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2005
Last Update Date
09-01-2015
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
18090
License State
MD
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)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

2800 (DC)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

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.

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.

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.

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

MR. DARYL ANDREW CLARKE PT

Authorized Official Title
DIRECTOR OF PT OWNER
Authorized Official Phone
(301) 599-8899

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
GO1258MEDICARE UPIN (02)DC 
68640202OTHER (01)PROVIDER CAREFIRST BLUECR
7910288OTHER (01)AETNA PPO
=========OTHER (01)TRICARE PROVIDER
KER3SPOTHER (01)GRP CAREFIRST BLUE CROSS
270001084OTHER (01)CORVEL
=========OTHER (01)CHAMPVA
H853001OTHER (01)CAREFIRST BLUE CROSS BLUE
101837200OTHER (01)DOL OWCP
3204256OTHER (01)AETNA HMO
466223OTHER (01)MAMSI PROVIDER NUMBER
523780OTHER (01)NCPPO PROVIDER
2320527OTHER (01)UNITED HEALTHCARE MID ATL

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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 1285611608, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 6 → 12 → 3 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 2 + 1 + 2 + 6 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1285611608.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
9440 PENNSYLVANIA AVE, 215
UPPER MARLBORO, MD 20772
Pediatrics
9440 PENNSYLVANIA AVE, #160
UPPER MARLBORO, MD 20772
Speech-Language Pathologist
9440 PENNSYLVANIA AVE, SUITE 210
UPPER MARLBORO, MD 20772
Physical Therapist
9440 PENNSYLVANIA AVE, SUITE 215
UPPER MARLBORO, MD 20772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285611608, enumerated as an "organization" on December 28, 2005.

The provider is located at 9440 PENNSYLVANIA AVE # 215 UPPER MARLBORO, MD 20772 and the phone number is (301) 599-8899.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Tricare and Blue Cross. Please consult your insurance carrier or call the provider to verify.