GIA MARIE CALABRESE PT NPI 1730580689
Physical Therapist in Snohomish, WA
About GIA MARIE CALABRESE PT
Gia Calabrese is a provider established in Snohomish, Washington and her medical specialization is Physical Therapist with more than 9 years of experience. The NPI number of this provider is 1730580689 and was assigned on September 2014. The practitioner's primary taxonomy code is 225100000X with license number PT60501885 (WA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
| NPI | 1730580689 |
| Provider Name | GIA MARIE CALABRESE PT |
| Location Address | 231 AVENUE D SNOHOMISH, WA 98290 |
| Location Phone | (360) 563-1020 |
| Mailing Address | 10505 19TH AVE SE SUITE B EVERETT, WA 98208 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-10-2014 |
| Last Update Date | 09-10-2014 |
Gia Calabrese is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.63 for a new patient copayment and $18.43 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | PT60501885 |
| License State | WA |
| 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:
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Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
231 AVENUE D
SNOHOMISH, WA
ZIP 98290
Phone: (360) 563-1020
Fax: (360) 563-9040
Mailing Address
10505 19TH AVE SE
SUITE B
EVERETT, WA
ZIP 98208
Phone: (408) 570-0510
Fax: (408) 945-4018
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 98290 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.96 | $178.29 | $90.52 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.74 | $44.57 | $22.63 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.53 | $145.92 | $73.74 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.63 | $36.48 | $18.43 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 291Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- 88Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
- 20Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)
- 13Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| PENDING | MEDICARE PIN (08) | WA |
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 | 3 | 0 | 5 | 8 | 0 | 6 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 10 | 8 | 0 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 1 + 0 + 8 + 0 + 6 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1730580689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497896575 | MRS. NANCY C FOGEL PT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1003003591 | SUMMIT REHABILITATION LLC Organization | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1912048737 | MR. TIMOTHY M PETERSON PT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1326439050 | ANDREA VOS Individual | Physical Therapy Assistant | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1003392523 | TYLER ANTHONY COX Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (425) 239-3145 |
| 1043793698 | KATHERINE TOUGAS DPT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1518511997 | DR. SAMANTHA JOAN CHISHOLM PT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1801421573 | RAILEY NADINE HANSEN-KEITH DPT Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1770168080 | ERIN VAN DYCK Individual | Physical Therapy Assistant | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1699445270 | DANIEL EUN Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
| 1114448503 | NICHOLAS LEE CARTER Individual | Physical Therapist | 231 AVENUE D SNOHOMISH, WA 98290 (360) 563-1020 |
Frequently Asked Questions
What is Gia Calabrese PT NPI number?
The NPI number assigned to this healthcare provider is 1730580689, registered as an "individual" on September 10, 2014
Where is Gia Calabrese PT located?
The provider is located at 231 Avenue D Snohomish, Wa 98290 and the phone number is (360) 563-1020
Which is Gia Calabrese PT specialty?
The provider's speciality is Physical Therapist
How many years of experience does Gia Calabrese PT have?
The provider has more than 9 years of experience.
What insurance does Gia Calabrese PT accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
How much is a visit to Gia Calabrese PT?
Medicare beneficiaries should expect a typical cost of $90.52 with an average copayment of $22.63 for new patient appointments. Established patients should expect a typical charge of $73.74 and an average copayment of 18.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Gia Calabrese PT?
The most common procedures or services performed by this practitioner are: Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Manual (physical) therapy techniques to 1 or more regions, each 15 minutes, Evaluation of physical therapy, typically 30 minutes and Evaluation of physical therapy, typically 20 minutes.
How do I update my NPI information?
The NPI record of Gia Calabrese PT was last updated on September 10, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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