CENTRAL COAST LYMPHEDEMA
NPI 1619360039
Physical Therapist in San Luis Obispo, CA
NPI Status: Active since March 10, 2015
Contact Information
3271 S HIGUERA ST STE 102
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (057) 829-3008
Fax: (805) 782-9700
- Organization
- Physical Therapist
- CLIA Number: 05D0863260
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About CENTRAL COAST LYMPHEDEMA
This page provides the complete NPI Profile along with additional information for Central Coast Lymphedema, a provider established in San Luis Obispo, California operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1619360039 assigned on March 2015. The practitioner's primary taxonomy code is 225100000X with license number 35961 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Templeton Lymphedema Therapy. The authorized official of this NPI record is Dr. Jamie Elizabeth Cinotto Pt-dpt, Clt (Physical Therapist)
- NPI
- 1619360039
- Provider Legal Name
- CENTRAL COAST LYMPHEDEMA
- Other Organization Name
- TEMPLETON LYMPHEDEMA THERAPY
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 3271 S HIGUERA ST STE 102 SAN LUIS OBISPO, CA 93401
- Location Phone
- (057) 829-3008
- Location Fax
- (805) 782-9700
- Mailing Address
- 3271 S HIGUERA ST STE 102 SAN LUIS OBISPO, CA 93401
- Mailing Phone
- (805) 782-9300
- Mailing Fax
- (805) 782-9700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-10-2015
- Last Update Date
- 05-22-2023
- 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
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 35961
- License State
- CA
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
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
- 05D0863260
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- JULIE R. ANSELMO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Central Coast Lymphedema in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1619360039, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619360039, enumerated as an "organization" on March 10, 2015.
The provider is located at 3271 S HIGUERA ST STE 102 SAN LUIS OBISPO, CA 93401 and the phone number is (057) 829-3008.
Physical Therapist with taxonomy code 225100000X.
