ELITE PHYSICAL THERAPY GROUP, LLC
NPI 1821256298
Clinic/Center - Physical Therapy in Tacoma, WA

NPI Status: Active since June 02, 2008

Contact Information

223 140TH ST S STE 700
TACOMA, WA
ZIP 98444
Phone: (253) 531-5645
Fax: (253) 536-3467

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance

About ELITE PHYSICAL THERAPY GROUP, LLC

This page provides the complete NPI Profile along with additional information for Elite Physical Therapy Group, Llc, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1821256298 assigned on June 2008. The practitioner's primary taxonomy code is 261QP2000X with license number 602832882 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Trevor William Pettingill Mpt (Physical Therapist/clinic Owner)

NPI
1821256298
Provider Name
ELITE PHYSICAL THERAPY GROUP, LLC
Entity Type
Organization
Location Address
223 140TH ST S STE 700 TACOMA, WA 98444
Location Phone
(253) 531-5645
Location Fax
(253) 536-3467
Mailing Address
21707 103RD AVENUE CT E STE B202 GRAHAM, WA 98338
Mailing Phone
(253) 271-7339
Mailing Fax
(253) 536-3467
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2008
Last Update Date
09-20-2022
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Location Map

Secondary Locations

  • 5701 N 26th St
    Tacoma, WA 98407
    (253) 507-7450
  • 19910 S Prairie Rd E
    Bonney Lake, WA 98391
    (253) 750-5997
  • 9909 224th St E Unit 100B
    Graham, WA 98338
    (253) 780-4965

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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
602832882
License State
WA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

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
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

TREVOR WILLIAM PETTINGILL MPT

Authorized Official Title
PHYSICAL THERAPIST/CLINIC OWNER
Authorized Official Phone
(253) 732-8116

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
G8876026OTHER (01)MEDICARE PTAN #
2001745MEDICAID (05)WA 

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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 1821256298, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 2 → 4 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 4 + 5 + 1 + 2 + 2 + 1 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1821256298.

Other Providers at the Same Location


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

Physical Therapist
223 140TH ST S STE 700
TACOMA, WA 98444
Physical Therapist
223 140TH ST S STE 700
TACOMA, WA 98444
Physical Therapist
223 140TH ST S STE 700
TACOMA, WA 98444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821256298, enumerated as an "organization" on June 02, 2008.

The provider is located at 223 140TH ST S STE 700 TACOMA, WA 98444 and the phone number is (253) 531-5645.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

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