PRO ACTIVE ADVANTAGE, LLC
PRO ACTIVE ADVANTAGE, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124148176, based in Burley, ID. It is classified under Rehabilitation Psychologist.
Getting there
The practice address on file is 1369 E 16TH ST STE 2, Burley, ID 83318. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Rehabilitation covers
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities. NUCC Health Care Provider Taxonomy, code 103TR0400X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124148176 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 30, 2007 |
| Last updated | Sep 15, 2021 |
| Status | Active |
| Practice address |
1369 E 16TH ST STE 2 Burley, ID 83318 (208) 878-3423 Fax (208) 878-3424 |
| Mailing address |
562 SHOUP AVE W Twin Falls, ID 83301 |
| Other identifiers |
8073698
(ID) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 1 | 4 | 8 | 1 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 2 | 4 | 7 | 1 | 5 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.