CHAD ALAN CLARK MSPT
NPI 1083617906
Physical Therapist in Pueblo,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 24, 2005

Contact Information

58 Glenroyal Dr
Pueblo,
Post Code: 81005
Phone: (719) 565-6678
Fax: (719) 561-0577

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Chad Alan Clark Mspt in Pueblo - Physical Therapist

Chad Alan Clark Mspt is a Physical Therapist in Pueblo, . Chad Alan Clark Mspt practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Chad Alan Clark Mspt is 1083617906. The last update date is 2011-09-01.

Chad Alan Clark Mspt's current location address is 58 Glenroyal Dr, Pueblo, . You can contact this provider via phone number (719) 565-6678 and fax number (719) 561-0577. The mailing address for Chad Alan Clark Mspt is 58 Glenroyal Dr, Pueblo, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1083617906
Provider Name
CHAD ALAN CLARK MSPT
Gender
Male
Entity Type
Individual
Location Address
58 Glenroyal Dr, Pueblo,
Location Phone
(719) 565-6678
Location Fax
(719) 561-0577
Mailing Address
58 Glenroyal Dr, Pueblo, Colorado(CO)
Mailing Phone
719-565-6678
Mailing Fax
719-561-0577
Enumeration Date
2005-05-24
Last Update Date
2011-09-01
Code Navigator

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
-
License No.
5835
License State
Colorado (CO)
Taxonomy Description
-

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
36630233 MEDICAID (05) Colorado (CO)

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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.
1083617906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631211490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 201631211490
2 + 0 + 1 + 6 + 3 + 1 + 2 + 1 + 1 + 4 + 9 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6 6

The NPI number 1083617906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011046 WILLIAM R DOVE
Individual
Psychologist 1106 N CASCADE AVE
COLORADO SPRINGS, Colorado (CO)
719-632-4812
1063415156 DANIEL G COSTELLO
Individual
Physician Assistant 1526 COLE BLVD STE 300
LAKEWOOD, Colorado (CO)
303-379-9371
1043213929 ALI MOHAMMED SARRAM
Individual
Specialist 11960 LIONESS WAY
PARKER, Colorado (CO)
303-695-8706
1063415560 LUCINDA TACHA
Individual
Social Worker 820 1ST ST.
LIMON, Colorado (CO)
719-775-2367
1033112628 GOLDEN RIDGE SURGERY CENTER LLC
Organization
Clinic/Center, Ambulatory Surgical 660 GOLDEN RIDGE RD STE 110
GOLDEN, Colorado (CO)
303-963-1500