WESTSIDE CONCIERGE PHYSICAL THERAPY
NPI 1639823958
Clinic/Center - Physical Therapy in Ft Worth, TX

NPI Status: Active since February 06, 2022

Contact Information

711 COMMERCE ST
FT WORTH, TX
ZIP 76102
Phone: (817) 675-0575
Fax: (817) 697-0002

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 45D2087514
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 11-24-2026

About WESTSIDE CONCIERGE PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Westside Concierge Physical Therapy, a provider established in Ft Worth, Texas operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1639823958 assigned on February 2022. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Patricia Smith Pt (Physical Therapist/owner)

NPI
1639823958
Provider Name
WESTSIDE CONCIERGE PHYSICAL THERAPY
Entity Type
Organization
Location Address
711 COMMERCE ST FT WORTH, TX 76102
Location Phone
(817) 675-0575
Location Fax
(817) 697-0002
Mailing Address
6732 FORTUNE RD FT WORTH, TX 76116
Mailing Phone
(817) 675-0575
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2022
Last Update Date
02-06-2022
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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
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

PATRICIA SMITH PT

Authorized Official Title
PHYSICAL THERAPIST/OWNER
Authorized Official Phone
(817) 675-0575

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
45D2087514
Facility Type
Mobile Laboratory
Certificate Effective Date
November 25, 2024
Certificate Expiration Date
November 24, 2026
Laboratory Director
MARK SANEMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Westside Concierge Physical Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1639823958, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 8 → 16 → 7 3 → 6 5 → 10 → 1

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 + 6 + 2 + 6 + 9 + 1 + 0 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1639823958.

Other Providers at the Same Location


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

Massage Therapist
711 COMMERCE ST
FORT WORTH, TX 76102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639823958, enumerated as an "organization" on February 06, 2022.

The provider is located at 711 COMMERCE ST FT WORTH, TX 76102 and the phone number is (817) 675-0575.

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