HOLLISTER PHYSICAL THERAPY, INC
NPI 1295905321
Clinic/Center - Physical Therapy in Hollister, CA

NPI Status: Active since March 04, 2008

Contact Information

321 SAN FELIPE RD STE 16
HOLLISTER, CA
ZIP 95023
Phone: (831) 636-3392
Fax: (831) 636-3393

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 05D2039301
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-04-2026

About HOLLISTER PHYSICAL THERAPY, INC

This page provides the complete NPI Profile along with additional information for Hollister Physical Therapy, Inc, a provider established in Hollister, California operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1295905321 assigned on March 2008. The practitioner's primary taxonomy code is 261QP2000X with license number PT213640 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Anna Marie Lewellen Mpt (Owner/physical Therapist)

NPI
1295905321
Provider Name
HOLLISTER PHYSICAL THERAPY, INC
Entity Type
Organization
Location Address
321 SAN FELIPE RD STE 16 HOLLISTER, CA 95023
Location Phone
(831) 636-3392
Location Fax
(831) 636-3393
Mailing Address
6775 DUNNVILLE WAY HOLLISTER, CA 95023
Mailing Phone
(831) 636-3392
Mailing Fax
(831) 636-3393
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2008
Last Update Date
02-23-2016
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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
License No.
PT213640
License State
CA
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:

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

MRS. ANNA MARIE LEWELLEN MPT

Authorized Official Title
OWNER/PHYSICAL THERAPIST
Authorized Official Phone
(831) 636-3392

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
0PT213640MEDICARE PIN (08)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2039301
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 05, 2024
Certificate Expiration Date
April 04, 2026
Laboratory Director
BERNADETTE D. ENDEREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hollister Physical Therapy, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1295905321, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 9 → 18 → 9 9 → 18 → 9 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 8 + 0 + 1 + 0 + 3 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1295905321.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295905321, enumerated as an "organization" on March 04, 2008.

The provider is located at 321 SAN FELIPE RD STE 16 HOLLISTER, CA 95023 and the phone number is (831) 636-3392.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

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