KENNETH P STACK PT,MS,CSCS
NPI 1346230489
Physical Therapist in Raleigh,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 27, 2005

Contact Information

115 S Saint Marys St
Raleigh,
Post Code: 27603
Phone: (800) 362-0903
Fax: (866) 434-5096

Get Directions Be the first to review

Kenneth P Stack Pt,ms,cscs in Raleigh - Physical Therapist

Kenneth P Stack Pt,ms,cscs is a Physical Therapist in Raleigh, . Kenneth P Stack Pt,ms,cscs practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kenneth P Stack Pt,ms,cscs is 1346230489. The last update date is 2010-03-27.

Kenneth P Stack Pt,ms,cscs's current location address is 115 S Saint Marys St, Raleigh, . You can contact this provider via phone number (800) 362-0903 and fax number (866) 434-5096. The mailing address for Kenneth P Stack Pt,ms,cscs is 115 S Saint Marys St, Raleigh, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1346230489
Provider Name
KENNETH P STACK PT,MS,CSCS
Gender
Male
Entity Type
Individual
Location Address
115 S Saint Marys St, Raleigh,
Location Phone
(800) 362-0903
Location Fax
(866) 434-5096
Mailing Address
1640 Eva Mae Dr, Raleigh, North Carolina(NC)
Mailing Phone
800-362-0903
Mailing Fax
866-434-5096
Enumeration Date
2005-10-27
Last Update Date
2010-03-27
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.
8899
License State
North Carolina (NC)
Taxonomy Description
-

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)
1 2251G0304X Geriatric Physical Therapist

Physical Therapist, Geriatrics

8899 (North Carolina)
2 2251S0007X Sports Physical Therapist

Physical Therapist, Sports

8899 (North Carolina)
3 2251X0800X Orthopedic Physical Therapist

Physical Therapist, Orthopedic

8899 (North Carolina)

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
078V4 Other (non-Medicare) (01) North Carolina (NC) BCBS
11337022 Other (non-Medicare) (01) () CAQH
7212592 MEDICAID (05) North Carolina (NC)

Reviews for KENNETH P STACK PT,MS,CSCS

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 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.
1346230489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386430416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2386430416
2 + 3 + 8 + 6 + 4 + 3 + 0 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1346230489 is valid because the calculated check digit 9 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
1114920162 JON DUBOSE
Individual
Pediatrics 111 HOSPITAL DR
TARBORO, North Carolina (NC)
252-641-7700
1225031271 JOHN DAVID SHEPHERD
Individual
Internal Medicine, Nephrology 293 OLMSTED BLVD
PINEHURST, North Carolina (NC)
910-295-3344
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1235132382 WILLIAM MARTIN WALKER
Individual
Optometrist 402 S COX ST
ASHEBORO, North Carolina (NC)
336-625-4359
1104829159 LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory 531 S SPRING ST
BURLINGTON, North Carolina (NC)
800-222-7566