HOLLADAY PHYSICAL MEDICINE
NPI 1487928222
Chiropractor - Orthopedic in Holladay, UT
NPI Status: Active since February 24, 2012
Contact Information
4211 HOLLADAY BLVD
HOLLADAY, UT
ZIP 84124
Phone: (801) 272-8471
- Organization
- Chiropractor
- Orthopedic
- Accepts Insurance
- CLIA Number: 46D2149360
- CLIA Cert. Type: Other - DIABETES DAY CAMP
- CLIA Exp. Date: 05-31-2028
About HOLLADAY PHYSICAL MEDICINE
This page provides the complete NPI Profile along with additional information for Holladay Physical Medicine, a provider established in Holladay, Utah operating as a Chiropractor, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1487928222 assigned on February 2012. The practitioner's primary taxonomy code is 111NX0800X with license number 161820-1202 (UT). The provider is registered as an organization and their NPI record was last updated 14 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 provider's is doing business as Holladay Physical Medicine. The authorized official of this NPI record is Mr. Bruce Van Gundersen Dc, Faco (President)
- NPI
- 1487928222
- Provider Legal Name
- P I C INCORPORATED
- Other Organization Name
- HOLLADAY PHYSICAL MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4211 HOLLADAY BLVD HOLLADAY, UT 84124
- Location Phone
- (801) 272-8471
- Mailing Address
- 4211 HOLLADAY BLVD HOLLADAY, UT 84124
- Mailing Phone
- (801) 272-8471
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-24-2012
- Last Update Date
- 02-24-2012
- Code Navigator
A chiropractor like Holladay Physical Medicine helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
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
Chiropractor Orthopedic
- Taxonomy Code
- 111NX0800X
- Type
- Chiropractic Providers
- License No.
- 161820-1202
- License State
- UT
- Taxonomy Description
- Chiropractic Orthopedics/Neuromusculoskeletal Medicine is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist/neuromusculoskeletal medicine specialist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist/neuromusculoskeletal medicine specialist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.
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:
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
- U Health Plus Silver - EPO
- U Health Plus Silver Standard - EPO
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.
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 |
|---|---|---|---|
| U000005652 | MEDICARE UPIN (02) | UT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2149360
- Facility Type
- Other - DIABETES DAY CAMP
- Certificate Effective Date
- June 01, 2026
- Certificate Expiration Date
- May 31, 2028
- Laboratory Director
- KATHLEEN DAYMEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Holladay Physical Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1487928222, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SALT LAKE CITY, UT 84124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487928222, enumerated as an "organization" on February 24, 2012.
The provider is located at 4211 HOLLADAY BLVD HOLLADAY, UT 84124 and the phone number is (801) 272-8471.
Chiropractor with taxonomy code 111NX0800X and a focus in Orthopedic.
The provider might be accepting Accepts: University of Utah Health Plans, Medicare and. Please consult your insurance carrier or call the provider to verify.
