PROVENANCE REHABILITATION
NPI 1619281961
Clinic/Center - Physical Therapy in Alpharetta, GA

NPI Status: Active since July 28, 2010

Contact Information

11975 MORRIS RD
SUITE 310
ALPHARETTA, GA
ZIP 30005
Phone: (678) 819-8720
Fax: (678) 819-8721

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  • Organization
  • Clinic/Center
  • Physical Therapy

About PROVENANCE REHABILITATION

This page provides the complete NPI Profile along with additional information for Provenance Rehabilitation, a provider established in Alpharetta, Georgia operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1619281961 assigned on July 2010. The practitioner's primary taxonomy code is 261QP2000X with license number 20111729283 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Jennifer Busbee Hunt P.t. (Owner)

NPI
1619281961
Provider Name
PROVENANCE REHABILITATION
Entity Type
Organization
Location Address
11975 MORRIS RD SUITE 310 ALPHARETTA, GA 30005
Location Phone
(678) 819-8720
Location Fax
(678) 819-8721
Mailing Address
310 AURELIA TRCE MILTON, GA 30004
Mailing Phone
(678) 570-9500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2010
Last Update Date
06-02-2014
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
20111729283
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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

MRS. JENNIFER BUSBEE HUNT P.T.

Authorized Official Title
OWNER
Authorized Official Phone
(678) 570-9500

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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 1619281961, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 1 → 2 2 → 4 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 4 + 8 + 2 + 9 + 1 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1619281961.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Midwife
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Midwife
11975 MORRIS RD, SUITE 300
ALPHARETTA, GA 30005
Midwife
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Nurse Practitioner (Women's Health)
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Nurse Practitioner (Family)
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Advanced Practice Midwife
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Registered Nurse (Women's Health Care, Ambulatory)
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Advanced Practice Midwife
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Clinic/Center (Physical Therapy)
11975 MORRIS RD, SUITE 300
ALPHARETTA, GA 30005
Advanced Practice Midwife
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Specialist
11975 MORRIS RD, SUITE 300
ALPHARETTA, GA 30005
Clinic/Center (Ambulatory Surgical)
11975 MORRIS RD, SUITE 160
ALPHARETTA, GA 30005
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 310
ALPHARETTA, GA 30005
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 310
ALPHARETTA, GA 30005
Advanced Practice Midwife
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005
Plastic Surgery
11975 MORRIS RD, SUITE 220
ALPHARETTA, GA 30005
Specialist/Technologist, Other (Surgical Assistant)
11975 MORRIS RD
ALPHARETTA, GA 30005
Obstetrics & Gynecology
11975 MORRIS RD, SUITE 200
ALPHARETTA, GA 30005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619281961, enumerated as an "organization" on July 28, 2010.

The provider is located at 11975 MORRIS RD SUITE 310 ALPHARETTA, GA 30005 and the phone number is (678) 819-8720.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.