CLEARCUT ORTHO, LLC
NPI 1720565583
Physical Therapist in Fort Worth, TX

NPI Status: Active since July 24, 2018

Contact Information

1001 12TH AVE STE 201
FORT WORTH, TX
ZIP 76104
Phone: (817) 719-7714
Fax: (817) 796-1114

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

Organization
Physical Therapist
Accepts Insurance

About CLEARCUT ORTHO, LLC

This page provides the complete NPI Profile along with additional information for Clearcut Ortho, Llc, a provider established in Fort Worth, Texas operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1720565583 assigned on July 2018. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Clearcut Ortho, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kenneth Wheeler Dpt, Ocs, Ncs (Owner/physical Therapist)

NPI: 1720565583
Provider Name: CLEARCUT ORTHO, LLC
Entity Type: Organization
Location Address: 1001 12TH AVE STE 201 FORT WORTH, TX 76104
Location Phone: (817) 719-7714
Location Fax: (817) 796-1114
Mailing Address: 1001 12TH AVE STE 201 FORT WORTH, TX 76104
Mailing Phone: (817) 719-7714
Mailing Fax: (817) 796-1114
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-24-2018
Last Update Date: 09-16-2022
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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

Physical Therapist

Taxonomy Code

225100000X

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Description

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

Diagnose and manage movement dysfunction and enhance physical and functional abilities.
Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.

PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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
1	2251E1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist Electrophysiology, Clinical
2	2251N0400X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist Neurology
3	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist Orthopedic

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:

Ambetter from Arizona Complete Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Silver - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

Ambetter from Arkansas Health & Wellness

Choice Bronze HSA (QualChoice) - POS
Complete Gold - PPO
Complete Gold + Vision + Adult Dental - PPO
Complete Silver (QualChoice) - POS
Connected Silver - PPO
Connected Silver (QualChoice) - POS
Connected Silver (QualChoiceLife) - PPO
Connected Silver + Vision + Adult Dental - PPO
Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO
Elite Gold (QualChoice) - POS
Elite Gold (QualChoiceLife) - PPO
Everyday Bronze - PPO
Everyday Bronze + Vision + Adult Dental - PPO
Everyday Gold - PPO
Everyday Gold + Vision + Adult Dental - PPO
Everyday Silver (QualChoiceLife) - PPO
Focused Silver - PPO
Focused Silver + Vision + Adult Dental - PPO
Standard Expanded Bronze - PPO

Ambetter from Louisiana Healthcare Connections

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO

Ambetter from Superior HealthPlan

Clear VALUE Silver - HMO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Complete VALUE Gold - HMO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Focused VALUE Silver - HMO
Focused VALUE Silver + Vision + Adult Dental - HMO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Gold VALUE - HMO
Standard Silver - EPO
Standard Silver VALUE - HMO
Standard Silver VALUE + Vision + Adult Dental - HMO

Ambetter Health

Complete VALUE Gold - HMO
Complete VALUE Silver - HMO
Elite VALUE Bronze - HMO
Focused VALUE Silver - HMO
Standard Expanded Bronze VALUE - HMO
Standard Gold VALUE - HMO
Standard Silver VALUE - HMO

Ambetter of Oklahoma

Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO
Elite Gold - PPO
Elite Gold + Vision + Adult Dental - PPO
Everyday Bronze - PPO
Everyday Bronze + Vision + Adult Dental - PPO
Everyday Gold - PPO
Everyday Gold + Vision + Adult Dental - PPO
Focused Silver - PPO
Focused Silver + Vision + Adult Dental - PPO
Standard Expanded Bronze - PPO
Standard Expanded Bronze + Vision + Adult Dental - PPO
Standard Gold - PPO
Standard Gold + Vision + Adult Dental - PPO
Standard Silver - PPO

Imperial Insurance Companies, Inc.

Imperial Preferred Bronze - HMO
Imperial Preferred Gold - HMO
Imperial Preferred Gold Zero - HMO
Imperial Preferred Silver - HMO
Imperial Standard Bronze - HMO
Imperial Standard Gold - HMO
Imperial Standard Silver - HMO

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 12 - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
UHC Bronze Standard - HMO
UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
UHC Gold Standard - HMO
UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
UHC Silver Standard - HMO
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

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: KENNETH WHEELER DPT, OCS, NCS
Authorized Official Title: OWNER/PHYSICAL THERAPIST
Authorized Official Phone: (817) 719-7714

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
394270802	MEDICAID (05)	TX

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	7	2	0	5	6	5	5	8	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	4	0	10	6	10	5	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 6 + 1 + 0 + 5 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1720565583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.