(INACTIVE)LMC CLUB HOUSE PT, OT
NPI 1215194907
Physical Therapist in Rice Lake, WI
NPI Status: Active since May 20, 2008
Contact Information
1100 N MAIN ST
RICE LAKE, WI
ZIP 54868
Phone: (715) 234-1515
Fax: (715) 234-4465
- Organization
- Physical Therapist
- Accepts Insurance
About (INACTIVE)LMC CLUB HOUSE PT, OT
This page provides the complete NPI Profile along with additional information for (inactive)lmc Club House Pt, Ot, a provider established in Rice Lake, Wisconsin operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1215194907 assigned on May 2008. The practitioner's primary taxonomy code is 225100000X with license number 1562800 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. (inactive)lmc Club House Pt, Ot operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as (inactive)lmc Club House Pt, Ot. The authorized official of this NPI record is Ms. Jacqueline Klein (Cfo)
- NPI
- 1215194907
- Provider Legal Name
- LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE
- Other Organization Name
- (INACTIVE)LMC CLUB HOUSE PT, OT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1100 N MAIN ST RICE LAKE, WI 54868
- Location Phone
- (715) 234-1515
- Location Fax
- (715) 234-4465
- Mailing Address
- 1100 N MAIN ST RICE LAKE, WI 54868
- Mailing Phone
- (715) 234-1515
- Mailing Fax
- (715) 234-4465
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2008
- Last Update Date
- 11-20-2024
- 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.
- 1562800
- 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.
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 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 2 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 1562800 (WI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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 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 Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- 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
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 |
|---|---|---|---|
| 41214500 | 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 | 2 | 1 | 5 | 1 | 9 | 4 | 9 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 9 | 8 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 9 + 8 + 9 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1215194907 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 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134167836 | RACHEL JEAN BUTALLA MS,CCC-SLP Individual | Speech-Language Pathologist | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1457361321 | DR. WENDY M BROMBEREK PHARM D Individual | Pharmacist | 1100 N MAIN ST RICE LAKE, WI 54868 (175) 236-6297 |
| 1649309865 | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE Organization | Clinic/Center (Emergency Care) | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1558490771 | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE Organization | General Acute Care Hospital | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1467581686 | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE Organization | Durable Medical Equipment & Medical Supplies | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1750588331 | MILDRED JEAN SEABOLD MS, RD,CD Individual | Dietitian, Registered | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 236-6208 |
| 1912170606 | DORIAN L GLAZE CCC-SLP Individual | Speech-Language Pathologist | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 236-6408 |
| 1992972426 | MS. CHERI FOX MESSICK CCC-SLP Individual | Speech-Language Pathologist | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 236-6408 |
| 1750533121 | MRS. ANDREA ELIZABETH DOTY OTR/L Individual | Occupational Therapist | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1831337708 | MRS. MICHELLE R CORBIN OTR Individual | Occupational Therapist | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1013242163 | MS. SUSAN G STEINMETZ O.T. Individual | Occupational Therapist | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1609822048 | DOUGLAS J. RAETHER, M.D., S.C. Organization | Anesthesiology | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1700833589 | JEFFERY J. ANDEREGG M.D., S.C. Organization | Anesthesiology | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1528015161 | MARK A. WEBER, M.D., S.C. Organization | Anesthesiology | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1487601274 | PHILIP S. HENKEL, M.D., S.C. Organization | Anesthesiology | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
| 1184646051 | NORTHWEST WISCONSIN ANESTHESIOLOGISTS, SC Organization | Anesthesiology | 1100 N MAIN ST RICE LAKE, WI 54868 (715) 234-1515 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215194907, enumerated in the NPI registry as an "organization" on May 20, 2008
The provider is located at 1100 N Main St Rice Lake, Wi 54868 and the phone number is (715) 234-1515
This medical organization specializes in Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. 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 May 20, 2008. 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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