FORM MEDICAL
NPI 1831616390
Physical Medicine & Rehabilitation - Neuromuscular Medicine in Denver, CO

NPI Status: Active since August 25, 2017

Contact Information

1525 RALEIGH ST STE 220
DENVER, CO
ZIP 80204
Phone: (720) 370-9559

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  • Organization
  • Physical Medicine & Rehabilitation
  • Neuromuscular Medicine

About FORM MEDICAL

This page provides the complete NPI Profile along with additional information for Form Medical, a provider established in Denver, Colorado operating as a Physical Medicine & Rehabilitation, focusing in neuromuscular medicine . The healthcare provider is registered in the NPI registry with number 1831616390 assigned on August 2017. The practitioner's primary taxonomy code is 2081N0008X with license number DR.0058123 (CO). The provider is registered as an organization and their NPI record was last updated 4 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 provider's is doing business as Form Medical. The authorized official of this NPI record is Dr. Jessica Kelner Do (Physician/manager)

NPI
1831616390
Provider Legal Name
FORM MEDICAL, PLLC
Other Organization Name
FORM MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1525 RALEIGH ST STE 220 DENVER, CO 80204
Location Phone
(720) 370-9559
Mailing Address
1525 RALEIGH ST STE 220 DENVER, CO 80204
Mailing Phone
(720) 370-9559
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2017
Last Update Date
07-21-2022
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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 Medicine & Rehabilitation Neuromuscular Medicine

Taxonomy Code
2081N0008X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0058123
License State
CO
Taxonomy Description
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.

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.

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

DR. JESSICA KELNER DO

Authorized Official Title
PHYSICIAN/MANAGER
Authorized Official Phone
(720) 370-9559

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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 1831616390, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 3 → 6 6 → 12 → 3 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 + 6 + 1 + 1 + 2 + 1 + 1 + 2 + 3 + 1 + 8 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1831616390.

Other Providers at the Same Location


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

Clinic/Center (Primary Care)
1525 RALEIGH ST STE 220
DENVER, CO 80204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831616390, enumerated as an "organization" on August 25, 2017.

The provider is located at 1525 RALEIGH ST STE 220 DENVER, CO 80204 and the phone number is (720) 370-9559.

Physical Medicine & Rehabilitation with taxonomy code 2081N0008X and a focus in Neuromuscular Medicine.