JACKSON PHYSICAL THERAPY & REHABILITATION, INC.
NPI 1881705721
Physical Therapist in Jackson, MO

NPI Status: Active since August 31, 2006

Contact Information

310 E MAIN ST
JACKSON, MO
ZIP 63755
Phone: (573) 243-1001
Fax: (573) 243-1401

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  • Organization
  • Physical Therapist
  • CLIA Number: 26D0871021
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 05-07-2027

About JACKSON PHYSICAL THERAPY & REHABILITATION, INC.

This page provides the complete NPI Profile along with additional information for Jackson Physical Therapy & Rehabilitation, Inc., a provider established in Jackson, Missouri operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1881705721 assigned on August 2006. The practitioner's primary taxonomy code is 225100000X with license number 00932 (MO). The provider is registered as an organization and their NPI record was last updated 6 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 Mrs. Vicki Lynn Keller P.t. (Owner/p.t.)

NPI
1881705721
Provider Name
JACKSON PHYSICAL THERAPY & REHABILITATION, INC.
Entity Type
Organization
Location Address
310 E MAIN ST JACKSON, MO 63755
Location Phone
(573) 243-1001
Location Fax
(573) 243-1401
Mailing Address
310 E MAIN ST JACKSON, MO 63755
Mailing Phone
(573) 243-1001
Mailing Fax
(573) 243-1401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
08-22-2020
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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.
00932
License State
MO
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.

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

MRS. VICKI LYNN KELLER P.T.

Authorized Official Title
OWNER/P.T.
Authorized Official Phone
(573) 243-1001

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0871021
Facility Type
Rural Health Clinic
Certificate Effective Date
May 08, 2025
Certificate Expiration Date
May 07, 2027
Laboratory Director
LAURA E. GLUECK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jackson Physical Therapy & Rehabilitation, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1881705721, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 6 + 1 + 1 + 4 + 0 + 1 + 0 + 7 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1881705721.

Other Providers at the Same Location


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

Physical Therapist
310 E MAIN ST
JACKSON, MO 63755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881705721, enumerated as an "organization" on August 31, 2006.

The provider is located at 310 E MAIN ST JACKSON, MO 63755 and the phone number is (573) 243-1001.

Physical Therapist with taxonomy code 225100000X.