MRS. RENEE L HENSLEY PT
NPI 1104834670
Specialist in South Bend, IN

NPI Status: Active since August 03, 2006

Contact Information

411 E IRELAND RD
STE 400
SOUTH BEND, IN
ZIP 46614
Phone: (574) 231-8950
Fax: (574) 231-8955

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  • Individual
  • Female
  • Specialist
  • Accepts Insurance

About RENEE HENSLEY

This page provides the complete NPI Profile along with additional information for Renee Hensley, a provider established in South Bend, Indiana with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1104834670 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number 05003014A (IN). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1104834670
Provider Name
MRS. RENEE L HENSLEY PT
Gender
Female
Entity Type
Individual
Location Address
411 E IRELAND RD STE 400 SOUTH BEND, IN 46614
Location Phone
(574) 231-8950
Location Fax
(574) 231-8955
Mailing Address
205 W WACKER DR SUITE 1020 CHICAGO, IL 60606
Mailing Phone
(312) 640-0329
Is Sole Proprietor?
No
Enumeration Date
08-03-2006
Last Update Date
09-24-2012
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
05003014A
License State
IN
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
218470MEDICARE ID-TYPE UNSPECIFIED (04)INMEDICARE PROVIDER NUMBER

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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.
1104834670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041638614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 3 + 8 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104834670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912380288ACCELERATED REHABILITATION CENTERS LTD
Organization
Physical Therapist411 E IRELAND RD SUITE 400
SOUTH BEND, IN 46614
(574) 231-8950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104834670, enumerated in the NPI registry as an "individual" on August 03, 2006

The provider is located at 411 E Ireland Rd Ste 400 South Bend, In 46614 and the phone number is (574) 231-8950

The provider's speciality is Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. 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 August 03, 2006. 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.