COUNTRY CLUB PT PA
NPI 1578928420
Physical Therapist - Geriatrics in Venice, FL

NPI Status: Active since December 19, 2015

Contact Information

1331 WHISPERING LN
VENICE, FL
ZIP 34285
Phone: (941) 451-6689

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NPPES record last updated: December 19, 2015. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Physical Therapist
  • Geriatrics

About COUNTRY CLUB PT PA

This page provides the complete NPI Profile along with additional information for Country Club Pt Pa, a provider established in Venice, Florida operating as a Physical Therapist, focusing in geriatrics . The healthcare provider is registered in the NPI registry with number 1578928420 assigned on December 2015. The practitioner's primary taxonomy code is 2251G0304X with license number PT21464 (FL). The provider is registered as an organization and their NPI record was last updated 11 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 Lisa Corn (Office Manager)

NPI
1578928420
Provider Name
COUNTRY CLUB PT PA
Entity Type
Organization
Location Address
1331 WHISPERING LN VENICE, FL 34285
Location Phone
(941) 451-6689
Mailing Address
1331 WHISPERING LN VENICE, FL 34285
Mailing Phone
(941) 451-6689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2015
Last Update Date
12-19-2015
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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.
PT21464
License State
FL
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.

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.

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

LISA CORN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(941) 451-6689

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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 1578928420, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
0
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 9 → 18 → 9 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 8 + 2 + 1 + 6 + 4 + 4 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1578928420.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578928420, enumerated as an "organization" on December 19, 2015.

The provider is located at 1331 WHISPERING LN VENICE, FL 34285 and the phone number is (941) 451-6689.

Physical Therapist with taxonomy code 2251G0304X and a focus in Geriatrics.