LA PLATA PHYSICAL MEDICINE PC
NPI 1689137754
Physical Medicine & Rehabilitation in Durango, CO

NPI Status: Active since April 07, 2019

Contact Information

555 RIVERGATE LN STE B1-101
DURANGO, CO
ZIP 81301
Phone: (970) 403-3324
Fax: (833) 975-0954

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  • Organization
  • Physical Medicine & Rehabilitation
  • CLIA Number: 06D2251686
  • CLIA Cert. Type: Other - COMMUNITY FOOD BANK
  • CLIA Exp. Date: 02-03-2026

About LA PLATA PHYSICAL MEDICINE PC

This page provides the complete NPI Profile along with additional information for La Plata Physical Medicine Pc, a provider established in Durango, Colorado operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1689137754 assigned on April 2019. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert S Wallach Do (Owner)

NPI
1689137754
Provider Name
LA PLATA PHYSICAL MEDICINE PC
Entity Type
Organization
Location Address
555 RIVERGATE LN STE B1-101 DURANGO, CO 81301
Location Phone
(970) 403-3324
Location Fax
(833) 975-0954
Mailing Address
555 RIVERGATE LN STE B1-101 DURANGO, CO 81301
Mailing Phone
(970) 403-3324
Mailing Fax
(833) 975-0954
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2019
Last Update Date
10-08-2024
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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

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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

ROBERT S WALLACH DO

Authorized Official Title
OWNER
Authorized Official Phone
(970) 403-3324

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
06D2251686
Facility Type
Other - COMMUNITY FOOD BANK
Certificate Effective Date
February 04, 2024
Certificate Expiration Date
February 03, 2026
Laboratory Director
MARIEL BALBUENA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to La Plata Physical Medicine Pc 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 1689137754, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 8 → 16 → 7 1 → 2 7 → 14 → 5 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 + 1 + 6 + 9 + 2 + 3 + 1 + 4 + 7 + 1 + 0 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1689137754.

Other Providers at the Same Location


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

Physical Medicine & Rehabilitation
555 RIVERGATE LN STE B1-101
DURANGO, CO 81301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689137754, enumerated as an "organization" on April 07, 2019.

The provider is located at 555 RIVERGATE LN STE B1-101 DURANGO, CO 81301 and the phone number is (970) 403-3324.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.