MARC J PELLETIER LPT
NPI 1003113242
Physical Therapist in Portage, IN
NPI Status: Active since February 24, 2011
Contact Information
6459 US HIGHWAY 6
PORTAGE, IN
ZIP 46368
Phone: (219) 762-5592
Fax: (219) 762-5664
- Individual
- Male
- Years of Experience 35
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About MARC PELLETIER
This page provides the complete NPI Profile along with additional information for Marc Pelletier, a provider established in Portage, Indiana with a medical specialization in Physical Therapist and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1003113242 assigned on February 2011. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and his NPI record was last updated April 2025.
- NPI
- 1003113242
- Provider Name
- MARC J PELLETIER LPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6459 US HIGHWAY 6 PORTAGE, IN 46368
- Location Phone
- (219) 762-5592
- Location Fax
- (219) 762-5664
- Mailing Address
- 2001 BUTTERFIELD RD STE 1600 DOWNERS GROVE, IL 60515
- Mailing Phone
- (866) 370-8206
- Medical School Name
- OTHER
- Graduation Year
- 1991
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-24-2011
- Last Update Date
- 04-25-2025
- Code Navigator
Location Map
Secondary Locations
- 810 Fairgrove Church Rd
Hickory, NC 28602
(828) 326-3809 - 713 W Wade Hampton Blvd
Greer, SC 29650
(864) 479-6084 - 3620 Concord Pike Spc L
Wilmington, DE 19803
(302) 281-3072
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 State
- IN
- 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.
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 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 5321 (NC) |
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | (SC) |
| 3 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | CP038708T (DE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Marc Pelletier is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3971045287
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240602000013
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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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 | 0 | 0 | 3 | 1 | 1 | 3 | 2 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 2 | 1 | 6 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 2 + 1 + 6 + 2 + 8 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1003113242 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144589391 | ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE, LLC Organization | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1578867214 | AMBER M HAGARBOME PT Individual | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1912450560 | JACOB CUNNINGHAM Individual | Physical Therapy Assistant | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1497303630 | KATHERINE M AFTON DPT Individual | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1982320032 | ASHLYN NICOLE STIENER PT, DPT Individual | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1346005360 | JASMINE SMYLES Individual | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1093416869 | DR. WILLIAM FRANKLIN CAVES IV DPT Individual | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1285439547 | CHRISTON ARTHUR Individual | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
| 1841882503 | SHARAE PLEASANT Individual | Physical Therapist | 6459 US HIGHWAY 6 PORTAGE, IN 46368 (219) 762-5592 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003113242, enumerated in the NPI registry as an "individual" on February 24, 2011
The provider is located at 6459 Us Highway 6 Portage, In 46368 and the phone number is (219) 762-5592
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 35 years of experience.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 24, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.