LAKESIDE ORTHOPEDIC INSTITUTE, LLC
NPI 1962636050
Physical Therapist in Lake Havasu City, AZ

NPI Status: Active since May 05, 2009

Contact Information

1979 MCCULLOCH BLVD N
SUITE 101
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-4842
Fax: (928) 855-7452

Get Directions Write a Review

  • Organization
  • Physical Therapist

About LAKESIDE ORTHOPEDIC INSTITUTE, LLC

This page provides the complete NPI Profile along with additional information for Lakeside Orthopedic Institute, Llc, a provider established in Lake Havasu City, Arizona operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1962636050 assigned on May 2009. The practitioner's primary taxonomy code is 225100000X with license number 2641 (AZ). The provider is registered as an organization and their NPI record was last updated 17 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 Dr. Wesley James Johnson M.d. (President)

NPI
1962636050
Provider Name
LAKESIDE ORTHOPEDIC INSTITUTE, LLC
Entity Type
Organization
Location Address
1979 MCCULLOCH BLVD N SUITE 101 LAKE HAVASU CITY, AZ 86403
Location Phone
(928) 855-4842
Location Fax
(928) 855-7452
Mailing Address
25 RIVIERA BLVD LAKE HAVASU CITY, AZ 86403
Mailing Phone
(928) 854-5555
Mailing Fax
(928) 855-7452
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2009
Last Update Date
05-05-2009
Code Navigator

Location Map

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.
2641
License State
AZ
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

8192 (AZ)
2225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

6762 (AZ)

Group Taxonomy 193400000X MULTIPLE 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.

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

DR. WESLEY JAMES JOHNSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone

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
Z110835MEDICARE PIN (08)AZ 

Reviews for LAKESIDE ORTHOPEDIC INSTITUTE, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1962636050, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 6 → 12 → 3 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962636050.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1979 MCCULLOCH BLVD N, SUITE 203
LAKE HAVASU CITY, AZ 86403
Social Worker (Clinical)
1979 MCCULLOCH BLVD N, SUITE 202
LAKE HAVASU CITY, AZ 86403
Clinic/Center (Mental Health (Including Community Mental Health Center))
1979 MCCULLOCH BLVD N, STE. 202
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962636050, enumerated as an "organization" on May 05, 2009.

The provider is located at 1979 MCCULLOCH BLVD N SUITE 101 LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 855-4842.

Physical Therapist with taxonomy code 225100000X.

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