PREMIERE PHYSICAL THERAPY & SPORT REHABILITATION
NPI 1477660629
Physical Therapist in Springfield, IL

NPI Status: Active since August 24, 2006

Contact Information

320 E CARPENTER ST STE 1B
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 744-8000
Fax: (217) 744-8004

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  • Organization
  • Physical Therapist

About PREMIERE PHYSICAL THERAPY & SPORT REHABILITATION

This page provides the complete NPI Profile along with additional information for Premiere Physical Therapy & Sport Rehabilitation, a provider established in Springfield, Illinois operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1477660629 assigned on August 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John A Woodard (Pt/ceo)

NPI
1477660629
Provider Name
PREMIERE PHYSICAL THERAPY & SPORT REHABILITATION
Entity Type
Organization
Location Address
320 E CARPENTER ST STE 1B SPRINGFIELD, IL 62702
Location Phone
(217) 744-8000
Location Fax
(217) 744-8004
Mailing Address
320 E CARPENTER ST STE 1B SPRINGFIELD, IL 62702
Mailing Phone
(217) 744-8000
Mailing Fax
(217) 744-8004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2006
Last Update Date
09-30-2009
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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
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

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

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

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.

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

JOHN A WOODARD

Authorized Official Title
PT/CEO
Authorized Official Phone
(217) 744-8000

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
208419MEDICARE ID-TYPE UNSPECIFIED (04)ILGROUP
8421396OTHER (01)ILBCBS GROUP
5394810002MEDICARE NSC (07)IL 
214278MEDICARE ID-TYPE UNSPECIFIED (04)ILGROUP # AT SECOND CLINIC

Reviews for PREMIERE PHYSICAL THERAPY & SPORT REHABILITATION

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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 1477660629, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

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 + 1 + 2 + 6 + 0 + 6 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1477660629.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
320 E CARPENTER ST STE 1B
SPRINGFIELD, IL 62702
Physical Therapist
320 E CARPENTER ST STE 1B
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477660629, enumerated as an "organization" on August 24, 2006.

The provider is located at 320 E CARPENTER ST STE 1B SPRINGFIELD, IL 62702 and the phone number is (217) 744-8000.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.