MISS MARIA T JOSEPH PT, DPT
NPI 1033595087
Physical Therapist in Neenah, WI
NPI Status: Active since July 31, 2015
Contact Information
1305 W AMERICAN DR
NEENAH, WI
ZIP 54956
Phone: (920) 725-9373
- Individual
- Female
- Years of Experience 2
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About MARIA JOSEPH
This page provides the complete NPI Profile along with additional information for Maria Joseph, a provider established in Neenah, Wisconsin with a medical specialization in Physical Therapist and more than 2 years of experience. She graduated from University Of Missouri St Louis - School Of Optometry in 2024. The healthcare provider is registered in the NPI registry with number 1033595087 assigned on July 2015. The practitioner's primary taxonomy code is 225100000X with license number 13063-24 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1033595087
- Provider Name
- MISS MARIA T JOSEPH PT, DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1305 W AMERICAN DR NEENAH, WI 54956
- Location Phone
- (920) 725-9373
- Mailing Address
- 1639 SWAN RD APT 3 DE PERE, WI 54115
- Mailing Phone
- (920) 418-1835
- Medical School Name
- UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
- Graduation Year
- 2024
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-31-2015
- Last Update Date
- 12-12-2016
- Code Navigator
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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 13063-24
- License State
- WI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,300 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
- Premier HMO $3,500 HDHP - HMO
- Premier HMO $4,000 - 20% HDHP - HMO
- Premier HMO $5,000 - 20% HDHP - HMO
- Premier HMO $5,500 - 30% Copay - HMO
- Premier HMO $7,050 HDHP - HMO
- Premier HMO $750 - 10% - HMO
- Premier HMO $9,100 - HMO
- Premier POS $1,500 - 30% - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Maria Joseph 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: 9234443029
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: I20150807013243
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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Therapy procedure using manual technique, each 15 minutes
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 248 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $16.84 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54956 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MISS MARIA T JOSEPH PT, DPT
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. | |||||||||
| 1 | 0 | 3 | 3 | 5 | 9 | 5 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 10 | 9 | 10 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 0 + 9 + 1 + 0 + 0 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1033595087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497725295 | DR. BRIAN DOUGLAS JENKINS D.O. Individual | General Practice | 1305 W AMERICAN DR NEENAH, WI 54956 (800) 201-1194 |
| 1457302432 | MR. STEVEN JAMES PRICE MD Individual | Psychiatry & Neurology (Neurology) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1629029707 | MRS. GIZELL R LARSON MD Individual | Psychiatry & Neurology (Neurology) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1356382535 | MR. THOMAS GERARD MATTIO MD Individual | Psychiatry & Neurology (Neurology) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1235226143 | DR. JUAN A. ALBINO-RODRIGUEZ M.D. Individual | Pain Medicine (Interventional Pain Medicine) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1770668386 | DR. RODNEY K LEFLER DC Individual | Chiropractor | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1023203866 | SHARON ROSE DUCHATEAU OTR Individual | Occupational Therapist | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1770728974 | MRS. KRISTINE ANNE TWOMEY APNP Individual | Nurse Practitioner (Adult Health) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1902047624 | MARY B GAERTNER COTA Individual | Specialist | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1154328896 | KELLEY JANE PARNELL MD Individual | Psychiatry & Neurology (Neurology) | 1305 W AMERICAN DR NEENAH, WI 54956 (800) 201-1194 |
| 1902030380 | KRISTEN L MUSSER PT, DPT Individual | Physical Therapist | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1215471461 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN, SC Organization | Durable Medical Equipment & Medical Supplies | 1305 W AMERICAN DR NEENAH, WI 54956 (800) 201-1194 |
| 1295284560 | JAIME LYNN VELIE APNP Individual | Nurse Practitioner (Family) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 720-9373 |
| 1114154192 | DR. BENJAMIN ROBERT SIEBERT M.D. Individual | Physical Medicine & Rehabilitation | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1417434044 | CHRISTINE ELIZABETH MCGEE DNP Individual | Nurse Practitioner (Family) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9379 |
| 1235785478 | ARIENNE KRIZENESKY Individual | Nurse Practitioner (Family) | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1033523329 | DANIEL LONG D.O Individual | Psychiatry & Neurology (Neurology) | 1305 W AMERICAN DR NEENAH, WI 54956 (800) 201-1194 |
| 1740893114 | LAURAN M BRICE NP Individual | Nurse Practitioner | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 725-9373 |
| 1144456096 | MRS. JENNIFER LYNN SCHNELL DPT Individual | Physical Therapist | 1305 W AMERICAN DR NEENAH, WI 54956 (920) 729-7665 |
| 1003388208 | BAYCARE CLINIC, LLP Organization | Psychologist | 1305 W AMERICAN DR NEENAH, WI 54956 (800) 753-9960 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033595087, enumerated in the NPI registry as an "individual" on July 31, 2015
The provider is located at 1305 W American Dr Neenah, Wi 54956 and the phone number is (920) 725-9373
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 2 years of experience. She graduated from University Of Missouri St Louis - School Of Optometry in 2024.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Common Ground. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Therapy procedure using manual technique, each 15 minutes.
This NPI record was last updated on July 31, 2015. 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.