(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

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  • 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
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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

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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JACQUELINE KLEIN

Authorized Official Title
CFO
Authorized Official Phone
(715) 236-6129

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
41214500MEDICAID (05)WI 

Reviews for (INACTIVE)LMC CLUB HOUSE PT, OT

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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.
1215194907
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222529890
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 = 77

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 Pathologist1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1457361321DR. WENDY M BROMBEREK PHARM D
Individual
Pharmacist1100 N MAIN ST
RICE LAKE, WI 54868
(175) 236-6297
1649309865LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Organization
Clinic/Center (Emergency Care)1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1558490771LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Organization
General Acute Care Hospital1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1467581686LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Organization
Durable Medical Equipment & Medical Supplies1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1750588331 MILDRED JEAN SEABOLD MS, RD,CD
Individual
Dietitian, Registered1100 N MAIN ST
RICE LAKE, WI 54868
(715) 236-6208
1912170606 DORIAN L GLAZE CCC-SLP
Individual
Speech-Language Pathologist1100 N MAIN ST
RICE LAKE, WI 54868
(715) 236-6408
1992972426MS. CHERI FOX MESSICK CCC-SLP
Individual
Speech-Language Pathologist1100 N MAIN ST
RICE LAKE, WI 54868
(715) 236-6408
1750533121MRS. ANDREA ELIZABETH DOTY OTR/L
Individual
Occupational Therapist1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1831337708MRS. MICHELLE R CORBIN OTR
Individual
Occupational Therapist1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1013242163MS. SUSAN G STEINMETZ O.T.
Individual
Occupational Therapist1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1609822048DOUGLAS J. RAETHER, M.D., S.C.
Organization
Anesthesiology1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1700833589JEFFERY J. ANDEREGG M.D., S.C.
Organization
Anesthesiology1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1528015161MARK A. WEBER, M.D., S.C.
Organization
Anesthesiology1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1487601274PHILIP S. HENKEL, M.D., S.C.
Organization
Anesthesiology1100 N MAIN ST
RICE LAKE, WI 54868
(715) 234-1515
1184646051NORTHWEST WISCONSIN ANESTHESIOLOGISTS, SC
Organization
Anesthesiology1100 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].
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.