NORTHWEST ARKANSAS PHYSICAL ABILITY TESTING CENTER, P.A.
NPI 1902304876
Clinic/Center - Physical Therapy in Springdale, AR

NPI Status: Active since January 25, 2018

Contact Information

4001 WAGON WHEEL ROAD
SPRINGDALE, AR
ZIP 72762
Phone: (479) 725-3072
Fax: (479) 725-3098

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 04D2318289
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 02-06-2027

About NORTHWEST ARKANSAS PHYSICAL ABILITY TESTING CENTER, P.A.

This page provides the complete NPI Profile along with additional information for Northwest Arkansas Physical Ability Testing Center, P.a., a provider established in Springdale, Arkansas operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1902304876 assigned on January 2018. The practitioner's primary taxonomy code is 261QP2000X with license number PT1914 (AR). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jonathan Wade Lee Pt (Owner/therapist)

NPI
1902304876
Provider Name
NORTHWEST ARKANSAS PHYSICAL ABILITY TESTING CENTER, P.A.
Entity Type
Organization
Location Address
4001 WAGON WHEEL ROAD SPRINGDALE, AR 72762
Location Phone
(479) 725-3072
Location Fax
(479) 725-3098
Mailing Address
P.O. BOX 921 LOWELL, AR 72745
Mailing Phone
(479) 725-3072
Mailing Fax
(479) 725-3098
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2018
Last Update Date
01-25-2018
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
PT1914
License State
AR
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.

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

JONATHAN WADE LEE PT

Authorized Official Title
OWNER/THERAPIST
Authorized Official Phone
(479) 725-3072

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
04D2318289
Facility Type
Mobile Laboratory
Certificate Effective Date
February 07, 2025
Certificate Expiration Date
February 06, 2027
Laboratory Director
DR. DEBORAH DEERE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northwest Arkansas Physical Ability Testing Center, P.a. 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902304876
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902608814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 6 + 0 + 8 + 8 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1902304876 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902304876, enumerated as an "organization" on January 25, 2018.

The provider is located at 4001 WAGON WHEEL ROAD SPRINGDALE, AR 72762 and the phone number is (479) 725-3072.

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