RE GENERATE PHYSIOTHERAPY, LLC
NPI 1558853085
Physical Therapist - Orthopedic in Fayetteville, GA
NPI Status: Active since May 31, 2018
Contact Information
1240 GA-54
BUILDING 700
FAYETTEVILLE, GA
ZIP 30214
Phone: (678) 506-0196
Fax: (706) 611-0436
- Organization
- Physical Therapist
- Orthopedic
- CLIA Number: 11D2192321
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-26-2026
About RE GENERATE PHYSIOTHERAPY, LLC
This page provides the complete NPI Profile along with additional information for Re Generate Physiotherapy, Llc, a provider established in Fayetteville, Georgia operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1558853085 assigned on May 2018. The practitioner's primary taxonomy code is 2251X0800X with license number PT011852 (GA). The provider is registered as an organization and their NPI record was last updated 8 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 Dr. Jennifer Mcgowan Pt, Dpt, Ocs (Business Owner/physical Therapist)
- NPI
- 1558853085
- Provider Name
- RE GENERATE PHYSIOTHERAPY, LLC
- Entity Type
- Organization
- Location Address
- 1240 GA-54 BUILDING 700 FAYETTEVILLE, GA 30214
- Location Phone
- (678) 506-0196
- Location Fax
- (706) 611-0436
- Mailing Address
- 250 ESSEX CIRCLE FAYETTEVILLE, GA 30215
- Mailing Phone
- (678) 506-0196
- Mailing Fax
- (706) 611-0436
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2018
- Last Update Date
- 05-31-2018
- Code Navigator
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
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT011852
- License State
- GA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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.
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
- 11D2192321
- Facility Type
- Physician Office
- Certificate Effective Date
- September 27, 2024
- Certificate Expiration Date
- September 26, 2026
- Laboratory Director
- DR. EVAN S. HOLZBERG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Re Generate Physiotherapy, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1558853085, 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.
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 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558853085, enumerated as an "organization" on May 31, 2018.
The provider is located at 1240 GA-54 BUILDING 700 FAYETTEVILLE, GA 30214 and the phone number is (678) 506-0196.
Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.
