JOHN SOUKUP PT, MTC
NPI 1427091487
Physical Therapist in Coos Bay, OR

NPI Status: Active since June 14, 2006

Contact Information

1650 THOMPSON RD
COOS BAY, OR
ZIP 97420
Phone: (541) 269-7212
Fax: (541) 267-5260

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physical Therapist
Accepts Insurance

About JOHN SOUKUP

This page provides the complete NPI Profile along with additional information for John Soukup, a provider established in Coos Bay, Oregon with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1427091487 assigned on June 2006. The practitioner's primary taxonomy code is 225100000X with license number 6090 (OR). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI: 1427091487
Provider Name: JOHN SOUKUP PT, MTC
Gender: Male
Entity Type: Individual
Location Address: 1650 THOMPSON RD COOS BAY, OR 97420
Location Phone: (541) 269-7212
Location Fax: (541) 267-5260
Mailing Address: 1650 THOMPSON RD COOS BAY, OR 97420
Mailing Phone: (541) 269-7212
Mailing Fax: (541) 267-5260
Is Sole Proprietor?: No
Enumeration Date: 06-14-2006
Last Update Date: 10-19-2009
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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.

6090

License State

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.

Insurance Plans Accepted

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

PacificSource Health Plans

Navigator Bronze 7000 Exchange - PPO
Navigator Bronze 9200 - PPO
Navigator Bronze HSA 8050 - PPO
Navigator Gold 1500 - PPO
Navigator Gold 1500 Exchange - PPO
Navigator Gold 500 Exchange - PPO
Navigator Silver 3500 Exchange - PPO
Navigator Silver 4000 Exchange - PPO
Navigator Silver 5000 - PPO
Navigator Silver HSA 3500 - PPO
Navigator Standard Expanded Bronze - PPO
Navigator Standard Gold - PPO
Navigator Standard Silver - PPO
PacificSource Oregon Standard Bronze Plan NAV - PPO
PacificSource Oregon Standard Gold Plan NAV - PPO
PacificSource Oregon Standard Silver Plan NAV - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

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
266520	MEDICARE ID-TYPE UNSPECIFIED (04)	MO	PROVIDER NUMBER
386514	MEDICARE PIN (08)	OR

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	2	7	0	9	1	4	8	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	4	7	0	9	2	4	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 9 + 2 + 4 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7									7

The NPI number 1427091487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.