KELLY C FAGUNDES PT
NPI 1144337536
Physical Therapist in Sister Bay, WI
NPI Status: Active since August 23, 2006
Contact Information
2345 CANTERBURY LN
SISTER BAY, WI
ZIP 54234
Phone: (920) 854-4111
- Individual
- Female
- Physical Therapist
- Accepts Insurance
About KELLY FAGUNDES
This page provides the complete NPI Profile along with additional information for Kelly Fagundes, a provider established in Sister Bay, Wisconsin with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1144337536 assigned on August 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1144337536
- Provider Name
- KELLY C FAGUNDES PT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2345 CANTERBURY LN SISTER BAY, WI 54234
- Location Phone
- (920) 854-4111
- Mailing Address
- 323 S 18TH AVE STURGEON BAY, WI 54235
- Mailing Phone
- (920) 746-0410
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-23-2006
- Last Update Date
- 06-10-2025
- 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 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:
- 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
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 |
|---|---|---|---|
| 36107100 | MEDICAID (05) | WI |
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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 | 1 | 4 | 4 | 3 | 3 | 7 | 5 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 6 | 3 | 14 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 6 + 3 + 1 + 4 + 5 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1144337536 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740899285 | SAMANTHA MARIE PRUST MSW, LCSW Individual | Social Worker (Clinical) | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 868-3511 |
| 1033128475 | RICHARD L. HECKER DPM Individual | Podiatrist | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 868-3511 |
| 1316957277 | JOSEPH JOSHUA REBHAN M.D. Individual | Family Medicine | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 868-3511 |
| 1346357449 | MRS. HOLLY ANN SWAIN PA-C Individual | Physician Assistant (Medical) | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 868-3511 |
| 1427822865 | HENRY EDWARD GUZMAN DPT Individual | Physical Therapist | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 854-4111 |
| 1194850271 | MRS. LORI SOLBERG POTHAST P.T. Individual | Physical Therapist | 2345 CANTERBURY LN SISTER BAY, WI 54234 (820) 854-4111 |
| 1437327111 | DAWN E LEWEN PTA Individual | Physical Therapy Assistant | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 854-4111 |
| 1023126679 | CAROL A SHABBIT OTR Individual | Occupational Therapist | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 854-4111 |
| 1568857670 | PAIGE MARTIN LPTA Individual | Physical Therapy Assistant | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 854-4111 |
| 1710094115 | JENNIFER CS GADDES DPT Individual | Physical Therapist | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 854-4111 |
| 1134716467 | COURTNEY RHEINS CURRY APNP Individual | Nurse Practitioner (Adult Health) | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 868-3511 |
| 1265077481 | CASSAUNDRA N BRATZ LPC Individual | Counselor (Professional) | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 746-0510 |
| 1669481057 | RORY MICHAEL JOHNSON MD Individual | Family Medicine | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 868-3511 |
| 1043509284 | MELISSA LYNN JILOT APNP Individual | Nurse Practitioner | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 868-3511 |
| 1164575791 | DR. KRISTA LEE KECK PT Individual | Physical Therapist | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 854-4111 |
| 1609925056 | STANLEY SMITH PT Individual | Physical Therapist | 2345 CANTERBURY LN SISTER BAY, WI 54234 (920) 854-4111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144337536, enumerated in the NPI registry as an "individual" on August 23, 2006
The provider is located at 2345 Canterbury Ln Sister Bay, Wi 54234 and the phone number is (920) 854-4111
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. 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 23, 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].
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