MR. GORDON L. HINES OT
NPI 1568477057
Occupational Therapist in Provo, UT
NPI Status: Active since July 31, 2006
Contact Information
1034 N 500 W
PROVO, UT
ZIP 84604
Phone: (801) 373-7850
Fax: (801) 357-7997
- Individual
- Male
- Years of Experience 41
- Occupational Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About GORDON HINES
This page provides the complete NPI Profile along with additional information for Gordon Hines, a provider established in Provo, Utah with a medical specialization in Occupational Therapist and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1568477057 assigned on July 2006. The practitioner's primary taxonomy code is 225X00000X with license number 1071174201 (UT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1568477057
- Provider Name
- MR. GORDON L. HINES OT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1034 N 500 W PROVO, UT 84604
- Location Phone
- (801) 373-7850
- Location Fax
- (801) 357-7997
- Mailing Address
- PO BOX 30180 SALT LAKE CITY, UT 84130
- Mailing Fax
- (801) 357-7997
- Medical School Name
- OTHER
- Graduation Year
- 1985
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 07-08-2007
- 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
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 1071174201
- License State
- UT
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier 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 |
|---|---|---|---|
| 1071174201 | OTHER (01) | UT | UTAH STATE LICENSE |
Medicare Participation & PECOS Enrollment Status
Gordon Hines 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: 5193171502
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: I20231020001959
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.
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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 | 6 | 8 | 4 | 7 | 7 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 8 | 7 | 14 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 8 + 7 + 1 + 4 + 0 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1568477057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. MARC SUNE ROBINS DO
Preventive Medicine
(Undersea and Hyperbaric Medicine)
1034 N 500 W
PROVO, UT
ZIP 84604
ROBERT GORDON SHEEN NP-C
Nurse Practitioner
(Family)
1034 N 500 W
PROVO, UT
ZIP 84604
NANCY W. MORTENSEN A.P.R.N.
Nurse Practitioner
1034 N 500 W
PROVO, UT
ZIP 84604
BRENT C CHANDLER MD
Radiology
(Diagnostic Radiology)
1034 N 500 W
PROVO, UT
ZIP 84604
ELDON BRUCE MCIFF MD
Radiology
(Diagnostic Radiology)
1034 N 500 W
PROVO, UT
ZIP 84604
GORDON D BROWN MD
Radiology
(Diagnostic Radiology)
1034 N 500 W
PROVO, UT
ZIP 84604
GARY M WATTS MD
Radiology
(Diagnostic Radiology)
1034 N 500 W
PROVO, UT
ZIP 84604
RODNEY C PETERSEN MD
Radiology
(Diagnostic Radiology)
1034 N 500 W
PROVO, UT
ZIP 84604
ADAM R KROMMENHOEK MD
Emergency Medicine
(Emergency Medical Services)
1034 N 500 W
PROVO, UT
ZIP 84604
SHERMAN D WING MD
Radiology
(Diagnostic Radiology)
1034 N 500 W
PROVO, UT
ZIP 84604
MRS. JENNETTE R KILGROW DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT
ZIP 84604
MRS. PEGGY J MCCLELLAN DIETITAIN
Dietitian, Registered
1034 N 500 W
PROVO, UT
ZIP 84604
MRS. AMBER C CUTHBERT DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT
ZIP 84604
MRS. DONELLE GEARHEART DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT
ZIP 84604
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT
ZIP 84604
MRS. JALAINE KANTOR DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT
ZIP 84604
MRS. JENNIFER L CHRISTENSEN DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT
ZIP 84604
DR. NATHAN TERRY RICH M.D.
Internal Medicine
(Hematology & Oncology)
1034 N 500 W
PROVO, UT
ZIP 84604
SAM J COATES MD
Psychiatry & Neurology
(Psychiatry)
1034 N 500 W
PROVO, UT
ZIP 84604
MS. ANN S. SUMNER MCH
Speech-Language Pathologist
1034 N 500 W
PROVO, UT
ZIP 84604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568477057, enumerated as an "individual" on July 31, 2006.
The provider is located at 1034 N 500 W PROVO, UT 84604 and the phone number is (801) 373-7850.
Occupational Therapist with taxonomy code 225X00000X.
The provider might be accepting Accepts: Aetna CVS Health, Molina Healthcare, University of. Please consult your insurance carrier or call the provider to verify.
