PROVIDENCE REHABILITATION SERVICES
NPI 1811087166
Physical Therapist - Pediatrics in Mission, TX

NPI Status: Active since October 14, 2006

Contact Information

1609 E GRIFFIN PKWY
SUITE B
MISSION, TX
ZIP 78572
Phone: (956) 424-1089
Fax: (956) 424-1090

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  • Organization
  • Physical Therapist
  • Pediatrics

About PROVIDENCE REHABILITATION SERVICES

This page provides the complete NPI Profile along with additional information for Providence Rehabilitation Services, a provider established in Mission, Texas operating as a Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1811087166 assigned on October 2006. The practitioner's primary taxonomy code is 2251P0200X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's other name is Providence Rehabilitation Services. The authorized official of this NPI record is Ruby Bocanegra (President)

NPI
1811087166
Provider Legal Name
PROVIDENCE REHABILITATION SERVICES, LLC
Other Organization Name
PROVIDENCE REHABILITATION SERVICES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1609 E GRIFFIN PKWY SUITE B MISSION, TX 78572
Location Phone
(956) 424-1089
Location Fax
(956) 424-1090
Mailing Address
1609 E GRIFFIN PKWY SUITE B MISSION, TX 78572
Mailing Phone
(956) 424-1089
Mailing Fax
(956) 424-1090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2006
Last Update Date
08-02-2007
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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 Pediatrics

Taxonomy Code
2251P0200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

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)
1261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

657030000 (TX)
2261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

657030000 (TX)

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.

*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

RUBY BOCANEGRA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(956) 424-1089

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
657030000OTHER (01)TXTX BOARD OF PHYS THERAPY
554300000OTHER (01)TXTX BOARD OF OCCU THERAPY

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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 1811087166, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 1 → 2 0 → 0 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 0 + 8 + 1 + 4 + 1 + 1 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1811087166.

Other Providers at the Same Location


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

Pediatrics
1609 E GRIFFIN PKWY, STE B
MISSION, TX 78572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811087166, enumerated as an "organization" on October 14, 2006.

The provider is located at 1609 E GRIFFIN PKWY SUITE B MISSION, TX 78572 and the phone number is (956) 424-1089.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.

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