BROCK LISTER PT PA
NPI 1477089662
Clinic/Center - Physical Therapy in Holiday, FL

NPI Status: Active since May 07, 2017

Contact Information

2534 WOOD POINTE DR
HOLIDAY, FL
ZIP 34691
Phone: (716) 523-1783

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  • Organization
  • Clinic/Center
  • Physical Therapy

About BROCK LISTER PT PA

This page provides the complete NPI Profile along with additional information for Brock Lister Pt Pa, a provider established in Holiday, Florida operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1477089662 assigned on May 2017. The practitioner's primary taxonomy code is 261QP2000X with license number 31894 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Brock Lister (Owner)

NPI
1477089662
Provider Name
BROCK LISTER PT PA
Entity Type
Organization
Location Address
2534 WOOD POINTE DR HOLIDAY, FL 34691
Location Phone
(716) 523-1783
Mailing Address
2534 WOOD POINTE DR HOLIDAY, FL 34691
Mailing Phone
(716) 523-1783
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2017
Last Update Date
05-07-2017
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
31894
License State
FL
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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

BROCK LISTER

Authorized Official Title
OWNER
Authorized Official Phone
(716) 523-1783

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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 1477089662, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 7 → 14 → 5 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 0 + 8 + 1 + 8 + 6 + 1 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1477089662.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477089662, enumerated as an "organization" on May 07, 2017.

The provider is located at 2534 WOOD POINTE DR HOLIDAY, FL 34691 and the phone number is (716) 523-1783.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.