DYNAMIC SPORTS REHAB
NPI 1962902403
Chiropractor - Sports Physician in Bend, OR
NPI Status: Active since February 20, 2018
Contact Information
296 SW COLUMBIA ST STE D1
BEND, OR
ZIP 97702
Phone: (541) 600-2558
Fax: (541) 833-0562
- Organization
- Chiropractor
- Sports Physician
- Accepts Insurance
About DYNAMIC SPORTS REHAB
This page provides the complete NPI Profile along with additional information for Dynamic Sports Rehab, a provider established in Bend, Oregon operating as a Chiropractor, focusing in sports physician . The healthcare provider is registered in the NPI registry with number 1962902403 assigned on February 2018. The practitioner's primary taxonomy code is 111NS0005X with license number 4064 (OR). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dynamic Sports Rehab. The authorized official of this NPI record is Dr. Shawn Conrad Lutz Dc (Owner)
- NPI
- 1962902403
- Provider Legal Name
- SHAWN LUTZ DC LLC
- Other Organization Name
- DYNAMIC SPORTS REHAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 296 SW COLUMBIA ST STE D1 BEND, OR 97702
- Location Phone
- (541) 600-2558
- Location Fax
- (541) 833-0562
- Mailing Address
- 296 SW COLUMBIA ST STE D1 BEND, OR 97702
- Mailing Phone
- (541) 600-2558
- Mailing Fax
- (541) 833-0562
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2018
- Last Update Date
- 02-16-2022
- Code Navigator
A chiropractor like Dynamic Sports Rehab helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
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
Chiropractor Sports Physician
- Taxonomy Code
- 111NS0005X
- Type
- Chiropractic Providers
- License No.
- 4064
- License State
- OR
- Taxonomy Description
- A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
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.
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 |
|---|---|---|---|
| 1093012999 | OTHER (01) | NPI |
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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. | |||||||||
| 1 | 9 | 6 | 2 | 9 | 0 | 2 | 4 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 18 | 0 | 4 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 8 + 0 + 4 + 4 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1962902403 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
MS. JENNIFER BURY LAC
Acupuncturist
296 SW COLUMBIA ST STE D1
BEND, OR
ZIP 97702
DR. JOSEPH MATTHEW FARRIS D.C.
Chiropractor
296 SW COLUMBIA ST STE D1
BEND, OR
ZIP 97702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962902403, enumerated as an "organization" on February 20, 2018.
The provider is located at 296 SW COLUMBIA ST STE D1 BEND, OR 97702 and the phone number is (541) 600-2558.
Chiropractor with taxonomy code 111NS0005X and a focus in Sports Physician.
The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
