PEDIATRIC THERAPY, INC.
NPI 1902444631
Clinic/Center - Rehabilitation in Denton, TX

NPI Status: Active since December 12, 2019

Contact Information

1302 TEASLEY LN STE D
DENTON, TX
ZIP 76205
Phone: (866) 832-1708
Fax: (888) 789-4391

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  • Organization
  • Clinic/Center
  • Rehabilitation
  • CLIA Number: 45D2141714
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 12-18-2025

About PEDIATRIC THERAPY, INC.

This page provides the complete NPI Profile along with additional information for Pediatric Therapy, Inc., a provider established in Denton, Texas operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1902444631 assigned on December 2019. The practitioner's primary taxonomy code is 261QR0400X. 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 James M Clark (Vice President Of Operations)

NPI
1902444631
Provider Name
PEDIATRIC THERAPY, INC.
Entity Type
Organization
Location Address
1302 TEASLEY LN STE D DENTON, TX 76205
Location Phone
(866) 832-1708
Location Fax
(888) 789-4391
Mailing Address
9011 MOUNTAIN RIDGE DR STE 130 AUSTIN, TX 78759
Mailing Phone
(855) 268-4098
Mailing Fax
(888) 789-4391
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2019
Last Update Date
12-12-2019
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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 Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

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

JAMES M CLARK

Authorized Official Title
VICE PRESIDENT OF OPERATIONS
Authorized Official Phone
(866) 832-1708

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
45D2141714
Facility Type
Other - URGENT CARE
Certificate Effective Date
December 19, 2023
Certificate Expiration Date
December 18, 2025
Laboratory Director
MADELINE BROEMSEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Therapy, 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 1902444631, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
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 0 → 0 4 → 8 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 8 + 4 + 8 + 6 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1902444631.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902444631, enumerated as an "organization" on December 12, 2019.

The provider is located at 1302 TEASLEY LN STE D DENTON, TX 76205 and the phone number is (866) 832-1708.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.