PENINSULA REHAB & SPORTS MEDICINE, INC.
NPI 1407955651
Physical Therapist - Sports in Ocean City, MD
NPI Status: Active since September 22, 2006
Contact Information
12417 OCEAN GTWY STE 9
OCEAN CITY, MD
ZIP 21842
Phone: (410) 213-7878
Fax: (410) 213-7879
- Organization
- Physical Therapist
- Sports
About PENINSULA REHAB & SPORTS MEDICINE, INC.
This page provides the complete NPI Profile along with additional information for Peninsula Rehab & Sports Medicine, Inc., a provider established in Ocean City, Maryland operating as a Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1407955651 assigned on September 2006. The practitioner's primary taxonomy code is 2251S0007X with license number 19831 (MD). The provider is registered as an organization and their NPI record was last updated 18 years ago. Peninsula Rehab & Sports Medicine, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Peninsula Rehab & Sports Medicine, Inc.. The authorized official of this NPI record is Ms. Lesley K. Rogan M.ed., Pt, Atc (Vice President)
- NPI
- 1407955651
- Provider Legal Name
- PENINSULA REHABILITATION & SPORTS MEDICINE, INC.
- Other Organization Name
- PENINSULA REHAB & SPORTS MEDICINE, INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12417 OCEAN GTWY STE 9 OCEAN CITY, MD 21842
- Location Phone
- (410) 213-7878
- Location Fax
- (410) 213-7879
- Mailing Address
- 12417 OCEAN GTWY STE 9 OCEAN CITY, MD 21842
- Mailing Phone
- (410) 213-7878
- Mailing Fax
- (410) 213-7879
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-22-2006
- Last Update Date
- 07-26-2007
- 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
Physical Therapist Sports
- Taxonomy Code
- 2251S0007X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 19831
- License State
- MD
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 19831 (MD) |
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 19532 (MD) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 | 4 | 0 | 7 | 9 | 5 | 5 | 6 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 18 | 5 | 10 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 8 + 5 + 1 + 0 + 6 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1407955651 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 2 providers are registered at the same or nearby location.
MR. RONALD MARC WIST PT
Physical Therapist
12417 OCEAN GTWY STE 9
OCEAN CITY, MD
ZIP 21842
ATI HOLDING LLC
Physical Therapist
12417 OCEAN GTWY STE 9
OCEAN CITY, MD
ZIP 21842
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407955651, enumerated as an "organization" on September 22, 2006.
The provider is located at 12417 OCEAN GTWY STE 9 OCEAN CITY, MD 21842 and the phone number is (410) 213-7878.
Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.
