SAMANTHA PERCICH
NPI 1639623911
Physical Therapist - Orthopedic in Glen Carbon, IL

NPI Status: Active since August 04, 2016

Contact Information

4280 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034
Phone: (618) 288-4233

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  • Individual
  • Female
  • Physical Therapist
  • Orthopedic
  • Medicare Quality Reporting

About SAMANTHA PERCICH

This page provides the complete NPI Profile along with additional information for Samantha Percich, a provider established in Glen Carbon, Illinois with a medical specialization in Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1639623911 assigned on August 2016. The practitioner's primary taxonomy code is 2251X0800X with license number 2016027389 (MO). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1639623911
Provider Name
SAMANTHA PERCICH
Other Name
SAMANTHA SCHLAKE
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4280 S STATE ROUTE 159 GLEN CARBON, IL 62034
Location Phone
(618) 288-4233
Mailing Address
15 APEX DR HIGHLAND, IL 62249
Mailing Phone
(618) 441-0482
Is Sole Proprietor?
No
Enumeration Date
08-04-2016
Last Update Date
10-12-2018
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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 Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2016027389
License State
MO
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 96% 28
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

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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 1639623911, 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
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 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 3 → 6 6 → 12 → 3 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 2 + 2 + 6 + 9 + 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 1639623911.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
4280 S STATE ROUTE 159, STE 3
GLEN CARBON, IL 62034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639623911, enumerated as an "individual" on August 04, 2016.

The provider is located at 4280 S STATE ROUTE 159 GLEN CARBON, IL 62034 and the phone number is (618) 288-4233.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.