PHASE REVERSAL LLC
NPI 1407409485
Electrodiagnostic Medicine in Ft Worth, TX

NPI Status: Active since July 19, 2019

Contact Information

111 BOLAND ST STE 211
FT WORTH, TX
ZIP 76107
Phone: (817) 529-8488
Fax: (903) 328-6568

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  • Organization
  • Electrodiagnostic Medicine

About PHASE REVERSAL LLC

This page provides the complete NPI Profile along with additional information for Phase Reversal Llc, a provider established in Ft Worth, Texas operating as a Electrodiagnostic Medicine. The healthcare provider is registered in the NPI registry with number 1407409485 assigned on July 2019. The practitioner's primary taxonomy code is 204R00000X. The provider is registered as an organization and their NPI record was last updated 7 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 Gina Sullivan (Billing Manager)

NPI
1407409485
Provider Name
PHASE REVERSAL LLC
Entity Type
Organization
Location Address
111 BOLAND ST STE 211 FT WORTH, TX 76107
Location Phone
(817) 529-8488
Location Fax
(903) 328-6568
Mailing Address
111 BOLAND ST STE 211 FT WORTH, TX 76107
Mailing Phone
(817) 529-8488
Mailing Fax
(903) 328-6568
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2019
Last Update Date
07-19-2019
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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

Electrodiagnostic Medicine

Taxonomy Code
204R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.

Group Taxonomy 193400000X 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.

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

GINA SULLIVAN

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(817) 529-8488

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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 1407409485, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 0 → 0 4 → 8 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 8 + 0 + 1 + 8 + 4 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1407409485.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Electrodiagnostic Medicine
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107
Specialist/Technologist, Other (Electroneurodiagnostic)
111 BOLAND ST STE 211
FT WORTH, TX 76107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407409485, enumerated as an "organization" on July 19, 2019.

The provider is located at 111 BOLAND ST STE 211 FT WORTH, TX 76107 and the phone number is (817) 529-8488.

Electrodiagnostic Medicine with taxonomy code 204R00000X.