KEVIN LAPHAM DPT
NPI 1649754581
Physical Therapist - Orthopedic in New York, NY

NPI Status: Active since September 17, 2018

Contact Information

31 E 32ND ST FL 4
NEW YORK, NY
ZIP 10016
Phone: (212) 759-2282
Fax: (212) 379-2123

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 8
Physical Therapist
Orthopedic
Accepts Medicare Approved Payment

About KEVIN LAPHAM

This page provides the complete NPI Profile along with additional information for Kevin Lapham, a provider established in New York, New York with a medical specialization in Physical Therapist, focusing in orthopedic and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1649754581 assigned on September 2018. The practitioner's primary taxonomy code is 2251X0800X with license number 40QA01822800 (NJ). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI: 1649754581
Provider Name: KEVIN LAPHAM DPT
Gender: Male
Entity Type: Individual
Location Address: 31 E 32ND ST FL 4 NEW YORK, NY 10016
Location Phone: (212) 759-2282
Location Fax: (212) 379-2123
Mailing Address: 31 E 32ND ST FL 4 NEW YORK, NY 10016
Mailing Phone: (212) 759-2282
Mailing Fax: (212) 379-2123
Medical School Name: OTHER
Graduation Year: 2018
Is Sole Proprietor?: Yes
Enumeration Date: 09-17-2018
Last Update Date: 11-01-2022
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Location Map

Secondary Locations

301 Route 17 Ste 105
Rutherford, NJ 07070
(201) 460-0032
605 Main St
Hackensack, NJ 07601
(201) 881-7321

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.: 40QA01822800
License State: NJ
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.

Medicare Participation & PECOS Enrollment Status

Kevin Lapham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 6204189426
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20181105001965
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	4	9	7	5	4	5	8	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	8	9	14	5	8	5	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 4 + 5 + 8 + 5 + 1 + 6 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 1									1

The NPI number 1649754581 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.