DOMINGO GRULLON JR. DPT
NPI 1720761570
Physical Therapist in Crown Point, IN
NPI Status: Active since August 09, 2023
Contact Information
11275 DELAWARE PKWY STE B
CROWN POINT, IN
ZIP 46307
Phone: (219) 663-8766
- Individual
- Male
- Physical Therapist
- Accepts Insurance
About DOMINGO GRULLON
This page provides the complete NPI Profile along with additional information for Domingo Grullon, a provider established in Crown Point, Indiana with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1720761570 assigned on August 2023. The practitioner's primary taxonomy code is 225100000X with license number 40QA02192500 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1720761570
- Provider Name
- DOMINGO GRULLON JR. DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11275 DELAWARE PKWY STE B CROWN POINT, IN 46307
- Location Phone
- (219) 663-8766
- Mailing Address
- 6050 TACOMA MALL BLVD STE 300 TACOMA, WA 98409
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-09-2023
- Last Update Date
- 10-17-2024
- Code Navigator
Location Map
Secondary Locations
- 19321 Mountain Hwy E Ste 100
Spanaway, WA 98387
(253) 846-8918 - 3319 Willowcreek Rd
Portage, IN 46368
(574) 544-5434 - 10787 Randolph St Ste 220
Winfield, IN 46307
(219) 333-5900 - 2502 Calumet Ave
Valparaiso, IN 46383
(219) 280-2034
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
- License No.
- 40QA02192500
- License State
- NY
- 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.
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 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | CP035073T (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 7 | 6 | 1 | 5 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 14 | 6 | 2 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 1 + 4 + 6 + 2 + 5 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1720761570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
ADAM HUTCHISON PT, DPT
Physical Therapist
11275 DELAWARE PKWY STE B
CROWN POINT, IN
ZIP 46307
ERIN KAY ROBINSON
Physical Therapist
11275 DELAWARE PKWY STE B
CROWN POINT, IN
ZIP 46307
TRISHA ANNE MCCORMACK DPT
Physical Therapist
11275 DELAWARE PKWY STE B
CROWN POINT, IN
ZIP 46307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720761570, enumerated as an "individual" on August 09, 2023.
The provider is located at 11275 DELAWARE PKWY STE B CROWN POINT, IN 46307 and the phone number is (219) 663-8766.
Physical Therapist with taxonomy code 225100000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
