ACTIVE CARE MEDICAL ASSOCIATES OF FOREST PARK
NPI 1427265495
Physical Therapist - Sports in Forest Park, GA

NPI Status: Active since May 17, 2007

Contact Information

1075 MAIN STREET
FOREST PARK, GA
ZIP 30297
Phone: (404) 366-4124
Fax: (404) 366-0297

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  • Organization
  • Physical Therapist
  • Sports

About ACTIVE CARE MEDICAL ASSOCIATES OF FOREST PARK

This page provides the complete NPI Profile along with additional information for Active Care Medical Associates Of Forest Park, a provider established in Forest Park, Georgia operating as a Physical Therapist, focusing in sports . The healthcare provider is registered in the NPI registry with number 1427265495 assigned on May 2007. The practitioner's primary taxonomy code is 2251S0007X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Active Care Medical Associates Of Forest Park operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Jennifer Danielle Crawford (Office Manager)

NPI
1427265495
Provider Name
ACTIVE CARE MEDICAL ASSOCIATES OF FOREST PARK
Entity Type
Organization
Location Address
1075 MAIN STREET FOREST PARK, GA 30297
Location Phone
(404) 366-4124
Location Fax
(404) 366-0297
Mailing Address
#342 5656 JONESBORO ROAD SUITE #111 LAKE CITY, GA 30260
Mailing Phone
(404) 366-4124
Mailing Fax
(404) 366-0297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
08-22-2020
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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 Sports

Taxonomy Code
2251S0007X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
GA
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.

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.

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. JENNIFER DANIELLE CRAWFORD

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(404) 366-4124

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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.
1427265495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24474610418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 6 + 1 + 0 + 4 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1427265495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427265495, enumerated as an "organization" on May 17, 2007.

The provider is located at 1075 MAIN STREET FOREST PARK, GA 30297 and the phone number is (404) 366-4124.

Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.