111TH SQUARE FITNESS AND THERAPY, LLC
NPI 1750521985
Physical Therapist in Portland, OR

NPI Status: Active since February 27, 2009

Contact Information

11126 NE HALSEY ST
PORTLAND, OR
ZIP 97220
Phone: (503) 256-5200
Fax: (503) 253-7958

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  • Organization
  • Physical Therapist

About 111TH SQUARE FITNESS AND THERAPY, LLC

This page provides the complete NPI Profile along with additional information for 111th Square Fitness And Therapy, Llc, a provider established in Portland, Oregon operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1750521985 assigned on February 2009. The practitioner's primary taxonomy code is 225100000X with license number 0355 (OR). The provider is registered as an organization and their NPI record was last updated 17 years ago. 111th Square Fitness And Therapy, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Linda Josephine Sanchez (Maker)

NPI
1750521985
Provider Name
111TH SQUARE FITNESS AND THERAPY, LLC
Entity Type
Organization
Location Address
11126 NE HALSEY ST PORTLAND, OR 97220
Location Phone
(503) 256-5200
Location Fax
(503) 253-7958
Mailing Address
11126 NE HALSEY ST PORTLAND, OR 97220
Mailing Phone
(503) 256-5200
Mailing Fax
(503) 253-7958
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2009
Last Update Date
02-27-2009
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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 Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
0355
License State
OR
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
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

1333261 (OR)
2225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Massage Therapist

15397 (OR)

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.

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

MS. LINDA JOSEPHINE SANCHEZ

Authorized Official Title
MAKER
Authorized Official Phone
(503) 256-5200

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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 1750521985, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 0 + 2 + 2 + 9 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1750521985.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
11126 NE HALSEY ST
PORTLAND, OR 97220
Behavior Technician
11126 NE HALSEY ST
PORTLAND, OR 97220
Behavior Technician
11126 NE HALSEY ST
PORTLAND, OR 97220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750521985, enumerated as an "organization" on February 27, 2009.

The provider is located at 11126 NE HALSEY ST PORTLAND, OR 97220 and the phone number is (503) 256-5200.

Physical Therapist with taxonomy code 225100000X.