WHITNEY C PELTON
NPI 1548601529
Physical Therapist - Geriatrics in Arlington, VA

NPI Status: Active since July 08, 2013

Contact Information

5910 WILSON BLVD
SUNRISE BLUEMONT
ARLINGTON, VA
ZIP 22205
Phone: (703) 536-1060

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 15
Physical Therapist
Geriatrics
Accepts Medicare Approved Payment

About WHITNEY PELTON

This page provides the complete NPI Profile along with additional information for Whitney Pelton, a provider established in Arlington, Virginia with a medical specialization in Physical Therapist, focusing in geriatrics and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1548601529 assigned on July 2013. The practitioner's primary taxonomy code is 2251G0304X with license number 2305207401 (VA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI: 1548601529
Provider Name: WHITNEY C PELTON
Gender: Female
Entity Type: Individual
Location Address: 5910 WILSON BLVD SUNRISE BLUEMONT ARLINGTON, VA 22205
Location Phone: (703) 536-1060
Mailing Address: 5601 SEMINARY RD APT 809N FALLS CHURCH, VA 22041
Mailing Phone: (804) 815-6632
Medical School Name: OTHER
Graduation Year: 2011
Is Sole Proprietor?: No
Enumeration Date: 07-08-2013
Last Update Date: 07-08-2013
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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 Geriatrics
Taxonomy Code: 2251G0304X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 2305207401
License State: VA
Taxonomy Description: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

Medicare Participation & PECOS Enrollment Status

Whitney Pelton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 4981089448
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20220920000257
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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.
1	5	4	8	6	0	1	5	2	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	8	8	12	0	2	5	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 0 + 2 + 5 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1548601529 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.