FUNCTIONAL PHYSICAL THERAPY, INC
NPI 1790738409
Physical Therapist in Bloomingdale, IL

NPI Status: Active since May 17, 2006

Contact Information

369 W ARMY TRAIL RD
UNIT 14
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 893-5534
Fax: (630) 893-5527

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  • Organization
  • Physical Therapist

About FUNCTIONAL PHYSICAL THERAPY, INC

This page provides the complete NPI Profile along with additional information for Functional Physical Therapy, Inc, a provider established in Bloomingdale, Illinois operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1790738409 assigned on May 2006. The practitioner's primary taxonomy code is 225100000X with license number 070-011136 (IL). The provider is registered as an organization and their NPI record was last updated 15 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 Tim Francis Fedorski Pt, Atc (President/owner)

NPI
1790738409
Provider Name
FUNCTIONAL PHYSICAL THERAPY, INC
Entity Type
Organization
Location Address
369 W ARMY TRAIL RD UNIT 14 BLOOMINGDALE, IL 60108
Location Phone
(630) 893-5534
Location Fax
(630) 893-5527
Mailing Address
152 S BLOOMINGDALE RD UNIT 101 BLOOMINGDALE, IL 60108
Mailing Phone
(630) 893-5534
Mailing Fax
(630) 893-5527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2006
Last Update Date
07-13-2011
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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
License No.
070-011136
License State
IL
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

TIM FRANCIS FEDORSKI PT, ATC

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(630) 893-5534

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
02232938OTHER (01)ILBLUE CROSS BLUE SHIELD
213639MEDICARE PIN (08)IL 
352586282001MEDICAID (05)IL 
DH0131OTHER (01)ILRAILROAD MEDICARE
P00478856OTHER (01)ILRAILROAD MEDICARE

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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 1790738409, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 4 + 3 + 1 + 6 + 4 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1790738409.

Other Providers at the Same Location


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

Physical Therapist
369 W ARMY TRAIL RD
BLOOMINGDALE, IL 60108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790738409, enumerated as an "organization" on May 17, 2006.

The provider is located at 369 W ARMY TRAIL RD UNIT 14 BLOOMINGDALE, IL 60108 and the phone number is (630) 893-5534.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.