PRO PERFORM SPINAL HEALTH & REHAB LLC
NPI 1912458621
Preferred Provider Organization in Oxon Hill, MD

NPI Status: Active since October 18, 2016

Contact Information

6710 OXON HILL RD
SUITE 400
OXON HILL, MD
ZIP 20745
Phone: (301) 705-7800
Fax: (301) 705-7888

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About PRO PERFORM SPINAL HEALTH & REHAB LLC

This page provides the complete NPI Profile along with additional information for Pro Perform Spinal Health & Rehab Llc, a provider established in Oxon Hill, Maryland operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1912458621 assigned on October 2016. The practitioner's primary taxonomy code is 305R00000X with license number S03581 (MD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Simone Simmons (Office Manager)

NPI
1912458621
Provider Name
PRO PERFORM SPINAL HEALTH & REHAB LLC
Entity Type
Organization
Location Address
6710 OXON HILL RD SUITE 400 OXON HILL, MD 20745
Location Phone
(301) 705-7800
Location Fax
(301) 705-7888
Mailing Address
12070 OLD LINE CTR SUITE 301 WALDORF, MD 20602
Mailing Phone
(301) 705-7800
Mailing Fax
(301) 705-7888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2016
Last Update Date
02-28-2017
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
S03581
License State
MD
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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

SIMONE SIMMONS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(301) 705-7800

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
371332MEDICARE PIN (08)MD 

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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 1912458621, 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
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
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 1 → 2 4 → 8 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 8 + 5 + 1 + 6 + 6 + 4 + 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 1912458621.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
6710 OXON HILL RD, SUITE #350
OXON HILL, MD 20745
Dentist (General Practice)
6710 OXON HILL RD, SUITE # 350
OXON HILL, MD 20745
Dentist
6710 OXON HILL RD, SUITE 350
OXON HILL, MD 20745
Dentist
6710 OXON HILL RD, SUITE 350
OXON HILL, MD 20745
Dentist (Pediatric Dentistry)
6710 OXON HILL RD, SUITE 170
OXON HILL, MD 20745
Dentist
6710 OXON HILL RD, SUITE 360
OXON HILL, MD 20745
Dentist (Pediatric Dentistry)
6710 OXON HILL RD, SUITE 170
OXON HILL, MD 20745
Anesthesiology
6710 OXON HILL RD, SUITE 150
OXON HILL, MD 20745
Community/Behavioral Health
6710 OXON HILL RD, SUITE 210
OXON HILL, MD 20745
Occupational Therapy Assistant
6710 OXON HILL RD
OXON HILL, MD 20745
Social Worker
6710 OXON HILL RD
OXON HILL, MD 20745
Social Worker
6710 OXON HILL RD
OXON HILL, MD 20745
Dentist (Oral and Maxillofacial Surgery)
6710 OXON HILL RD, SUITE #350
OXON HILL, MD 20745
Internal Medicine (Gastroenterology)
6710 OXON HILL RD
OXON HILL, MD 20745
Psychiatry & Neurology (Neurology)
6710 OXON HILL RD
OXON HILL, MD 20745
Internal Medicine
6710 OXON HILL RD
OXON HILL, MD 20745
Clinic/Center (Ambulatory Surgical)
6710 OXON HILL RD, SUITE 150
OXON HILL, MD 20745
Social Worker (Clinical)
6710 OXON HILL RD
OXON HILL, MD 20745

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912458621, enumerated as an "organization" on October 18, 2016.

The provider is located at 6710 OXON HILL RD SUITE 400 OXON HILL, MD 20745 and the phone number is (301) 705-7800.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.