HEALTHSOUTH SPORTS MEDICINE & REHAB CTR
NPI 1659332773
Clinic/Center - Rehabilitation in Midland Park, NJ

NPI Status: Active since March 29, 2006

Contact Information

445 GODWIN AVE
MIDLAND PARK, NJ
ZIP 07432
Phone: (201) 444-4991
Fax: (201) 444-2593

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation

About HEALTHSOUTH SPORTS MEDICINE & REHAB CTR

This page provides the complete NPI Profile along with additional information for Healthsouth Sports Medicine & Rehab Ctr, a provider established in Midland Park, New Jersey operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1659332773 assigned on March 2006. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Healthsouth Sports Medicine & Rehab Ctr. The authorized official of this NPI record is Michael E Tarvin (Vice President)

NPI: 1659332773
Provider Legal Name: PROFESSIONAL SPORTS CARE MANAGEMENT INC
Other Organization Name: HEALTHSOUTH SPORTS MEDICINE & REHAB CTR
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 445 GODWIN AVE MIDLAND PARK, NJ 07432
Location Phone: (201) 444-4991
Location Fax: (201) 444-2593
Mailing Address: 9716 OLD GETTYSBURG RD MECHANICSBURG, PA 17055
Mailing Phone: (717) 975-4503
Mailing Fax: (201) 444-2593
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-29-2006
Last Update Date: 12-12-2007
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: Clinic/Center Rehabilitation
Taxonomy Code: 261QR0400X
Type: Ambulatory Health Care Facilities

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	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center Physical Therapy

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: MICHAEL E TARVIN
Authorized Official Title: VICE PRESIDENT
Authorized Official Phone: (717) 975-4503

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
316670	MEDICARE OSCAR/CERTIFICATION (06)	NJ

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	5	9	3	3	2	7	7	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	10	9	6	3	4	7	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 6 + 3 + 4 + 7 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1659332773 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.