MR. KIM IDOL PT
NPI 1407001761
Physical Therapist in Winston Salem, NC

NPI Status: Active since November 29, 2008

Contact Information

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-5115

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  • Individual
  • Male
  • Physical Therapist

About KIM IDOL

This page provides the complete NPI Profile along with additional information for Kim Idol, a provider established in Winston Salem, North Carolina with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1407001761 assigned on November 2008. The practitioner's primary taxonomy code is 225100000X with license number 11599 (NC). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1407001761
Provider Name
MR. KIM IDOL PT
Gender
Male
Entity Type
Individual
Location Address
3150 BURKE MILL RD WINSTON SALEM, NC 27103
Location Phone
(336) 765-5115
Mailing Address
3150 BURKE MILL RD WINSTON SALEM, NC 27103
Is Sole Proprietor?
No
Enumeration Date
11-29-2008
Last Update Date
11-29-2008
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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.
11599
License State
NC
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.

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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.
1407001761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407002712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 0 + 2 + 7 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1407001761 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

THERESA WIDMER

Speech-Language Pathologist

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103

(336) 765-5115

MR. THOMAS CHARLES FISH JR. LPTA

Physical Therapy Assistant

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103

(336) 765-5115

HEATHER R. S. MAIER LPTA

Physical Therapy Assistant

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103

(336) 765-5115

KAPSON DANBY, LLC

Assisted Living Facility

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103

(336) 659-0708

DANBY HOUSE, LLC

Custodial Care Facility

(Adult Care Home)

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103

(336) 768-5656

ASHLEY SMITH PT

Physical Therapist

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103

(336) 407-7079

PARAGON OUTPATIENT REHABILITATION SERVICES, LLC

Clinic/Center

(Rehabilitation)

3150 BURKE MILL RD
WINSTON SALEM, NC
ZIP 27103

(336) 397-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407001761, enumerated as an "individual" on November 29, 2008.

The provider is located at 3150 BURKE MILL RD WINSTON SALEM, NC 27103 and the phone number is (336) 765-5115.

Physical Therapist with taxonomy code 225100000X.