INTEGRATIVE PHYSICAL MEDICINE
NPI 1669749396
Physical Medicine & Rehabilitation in Orlando, FL

NPI Status: Active since November 23, 2011

Contact Information

2206 E COLONIAL DR
ORLANDO, FL
ZIP 32803
Phone: (407) 839-1045
Fax: (407) 839-1044

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  • Organization
  • Physical Medicine & Rehabilitation
  • Accepts Insurance

About INTEGRATIVE PHYSICAL MEDICINE

This page provides the complete NPI Profile along with additional information for Integrative Physical Medicine, a provider established in Orlando, Florida operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1669749396 assigned on November 2011. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Integrative Physical Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Integrative Physical Medicine. The authorized official of this NPI record is Mrs. Shelby Anne Reid (Manager)

NPI
1669749396
Provider Legal Name
PARK LAKE PHYSICAL MEDICINE, LLC
Other Organization Name
INTEGRATIVE PHYSICAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2206 E COLONIAL DR ORLANDO, FL 32803
Location Phone
(407) 839-1045
Location Fax
(407) 839-1044
Mailing Address
2206 E COLONIAL DR ORLANDO, FL 32803
Mailing Phone
(407) 839-1045
Mailing Fax
(407) 839-1044
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-23-2011
Last Update Date
03-19-2014
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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

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

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

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

MRS. SHELBY ANNE REID

Authorized Official Title
MANAGER
Authorized Official Phone
(407) 839-1045

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
6694190001OTHER (01)FLDMERC

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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 1669749396, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 4 + 4 + 1 + 8 + 3 + 1 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1669749396.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Orthopaedic Surgery
2206 E COLONIAL DR
ORLANDO, FL 32803
Nurse Practitioner (Family)
2206 E COLONIAL DR
ORLANDO, FL 32803
Chiropractor
2206 E COLONIAL DR
ORLANDO, FL 32803
Chiropractor
2206 E COLONIAL DR
ORLANDO, FL 32803
Chiropractor
2206 E COLONIAL DR
ORLANDO, FL 32803
Chiropractor
2206 E COLONIAL DR
ORLANDO, FL 32803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669749396, enumerated as an "organization" on November 23, 2011.

The provider is located at 2206 E COLONIAL DR ORLANDO, FL 32803 and the phone number is (407) 839-1045.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.