NEURO COMEBACK CLINIC, LLC
NPI 1477482305
Physical Therapist - Neurology in Evans, GA

NPI Status: Active since May 18, 2026

Contact Information

4104 COLBEN BLVD STE CANDD
EVANS, GA
ZIP 30809
Phone: (301) 233-4502

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  • Organization
  • Physical Therapist
  • Neurology

About NEURO COMEBACK CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Neuro Comeback Clinic, Llc, a provider established in Evans, Georgia operating as a Physical Therapist, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1477482305 assigned on May 2026. The practitioner's primary taxonomy code is 2251N0400X. The provider is registered as an organization and their NPI record was last updated May 2026. Neuro Comeback Clinic, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Caroline Shore Pt, Dpt (Co-owner)

NPI
1477482305
Provider Name
NEURO COMEBACK CLINIC, LLC
Entity Type
Organization
Location Address
4104 COLBEN BLVD STE CANDD EVANS, GA 30809
Location Phone
(301) 233-4502
Mailing Address
4104 COLBEN BLVD STE CANDD EVANS, GA 30809
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2026
Last Update Date
05-18-2026
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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 Neurology

Taxonomy Code
2251N0400X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

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)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

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

CAROLINE SHORE PT, DPT

Authorized Official Title
CO-OWNER
Authorized Official Phone
(301) 233-4502

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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 1477482305, 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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
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 7 → 14 → 5 4 → 8 2 → 4 0 → 0

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 + 8 + 8 + 4 + 3 + 0 + 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 1477482305.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477482305, enumerated as an "organization" on May 18, 2026.

The provider is located at 4104 COLBEN BLVD STE CANDD EVANS, GA 30809 and the phone number is (301) 233-4502.

Physical Therapist with taxonomy code 2251N0400X and a focus in Neurology.