ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC
NPI 1629209606
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Austin, TX

NPI Status: Active since August 07, 2009

Contact Information

1015 E 32ND ST
SUITE 306
AUSTIN, TX
ZIP 78705
Phone: (512) 236-1310
Fax: (512) 236-6963

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  • Organization
  • Physical Medicine & Rehabilitation
  • Spinal Cord Injury Medicine
  • CLIA Number: 45D0505060
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC

This page provides the complete NPI Profile along with additional information for St. David's Physical Medicine And Rehabilitation, Pllc, a provider established in Austin, Texas operating as a Physical Medicine & Rehabilitation, focusing in spinal cord injury medicine . The healthcare provider is registered in the NPI registry with number 1629209606 assigned on August 2009. The practitioner's primary taxonomy code is 2081P0004X. The provider is registered as an organization and their NPI record was last updated 15 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 Mr. John Rebok (Vice President)

NPI
1629209606
Provider Name
ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC
Entity Type
Organization
Location Address
1015 E 32ND ST SUITE 306 AUSTIN, TX 78705
Location Phone
(512) 236-1310
Location Fax
(512) 236-6963
Mailing Address
98 SAN JACINTO BLVD SUITE 1800 AUSTIN, TX 78701
Mailing Phone
(512) 708-9700
Mailing Fax
(512) 236-6963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2009
Last Update Date
08-05-2011
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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 Medicine & Rehabilitation Spinal Cord Injury Medicine

Taxonomy Code
2081P0004X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.

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

MR. JOHN REBOK

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(512) 708-9700

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
45D0505060
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. JENNIFER E. BLANKENSHIP
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. David's Physical Medicine And Rehabilitation, Pllc 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 1629209606, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 4 + 0 + 1 + 8 + 6 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1629209606.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1015 E 32ND ST, STE 101
AUSTIN, TX 78705
Orthopaedic Surgery
1015 E 32ND ST, #101
AUSTIN, TX 78705
Surgery
1015 E 32ND ST, SUITE 308
AUSTIN, TX 78705
Internal Medicine (Interventional Cardiology)
1015 E 32ND ST, SUITE 508
AUSTIN, TX 78705
Obstetrics & Gynecology (Gynecology)
1015 E 32ND ST, #516
AUSTIN, TX 78705
Plastic Surgery (Surgery of the Hand)
1015 E 32ND ST, #208
AUSTIN, TX 78705
Specialist
1015 E 32ND ST, 406
AUSTIN, TX 78705
Pediatrics (Neonatal-Perinatal Medicine)
1015 E 32ND ST
AUSTIN, TX 78705
Nurse Practitioner (Neonatal)
1015 E 32ND ST, SUITE 405
AUSTIN, TX 78705
Nurse Practitioner (Neonatal, Critical Care)
1015 E 32ND ST, SUITE 405
AUSTIN, TX 78705
Obstetrics & Gynecology
1015 E 32ND ST, SUITE 306
AUSTIN, TX 78705
Pediatrics (Neonatal-Perinatal Medicine)
1015 E 32ND ST, SUITE 405
AUSTIN, TX 78705
Pediatrics (Neonatal-Perinatal Medicine)
1015 E 32ND ST
AUSTIN, TX 78705
Surgery
1015 E 32ND ST, 308
AUSTIN, TX 78705
Surgery
1015 E 32ND ST, STE 308
AUSTIN, TX 78705
Surgery
1015 E 32ND ST, STE 308
AUSTIN, TX 78705
Surgery
1015 E 32ND ST, 308
AUSTIN, TX 78705
Pediatrics
1015 E 32ND ST, SUITE 405
AUSTIN, TX 78705
Pediatrics (Neonatal-Perinatal Medicine)
1015 E 32ND ST, SUITE 405
AUSTIN, TX 78705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629209606, enumerated as an "organization" on August 07, 2009.

The provider is located at 1015 E 32ND ST SUITE 306 AUSTIN, TX 78705 and the phone number is (512) 236-1310.

Physical Medicine & Rehabilitation with taxonomy code 2081P0004X and a focus in Spinal Cord Injury Medicine.