LINDSEY HEFEL DPT
NPI 1295199164
Physical Therapist in Platteville, WI
NPI Status: Active since April 07, 2016
Contact Information
1400 EASTSIDE RD
PLATTEVILLE, WI
ZIP 53818
Phone: (608) 342-4748
- Individual
- Female
- Years of Experience 11
- Physical Therapist
- Accepts Insurance
- May Accept Medicare Approved Payment
About LINDSEY HEFEL
This page provides the complete NPI Profile along with additional information for Lindsey Hefel, a provider established in Platteville, Wisconsin with a medical specialization in Physical Therapist and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1295199164 assigned on April 2016. The practitioner's primary taxonomy code is 225100000X with license number 13322 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1295199164
- Provider Name
- LINDSEY HEFEL DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1400 EASTSIDE RD PLATTEVILLE, WI 53818
- Location Phone
- (608) 342-4748
- Mailing Address
- 312 S BENCH ST GALENA, IL 61036
- Medical School Name
- OTHER
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2016
- Last Update Date
- 04-07-2016
- 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.
- 13322
- 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 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 070022048 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Partners HMO Bronze 5000 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7500 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7900 Ded/7900 MOOP HSA - HMO
- Partners HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Partners HMO Gold 1500 Ded/7800 MOOP - HMO
- Partners HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Partners HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Partners HMO Silver 5000 Ded/8000 MOOP - HMO
- Partners HMO Silver 5500 Ded/5500 MOOP HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lindsey Hefel is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
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: 7315469038
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: I20250321002036
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? Maybe
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.
Reviews for LINDSEY HEFEL DPT
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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 | 9 | 5 | 1 | 9 | 9 | 1 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 2 | 9 | 18 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 2 + 9 + 1 + 8 + 1 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1295199164 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1801869979 | BRUCE BARTELS CRNA Individual | Nurse Anesthetist, Certified Registered | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1609842418 | C & M ASSOCIATES, INC Organization | Nurse Anesthetist, Certified Registered | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1770559379 | JON NORRIS CRNA Individual | Nurse Anesthetist, Certified Registered | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1275967788 | DR. ANGELA DIANE STAUFFACHER PHARMD Individual | Pharmacist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 342-4747 |
| 1891865713 | JAMES J YURCEK MD Individual | Surgery | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1437127453 | MR. PHILLIP O BURR P.A. Individual | Physician Assistant | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1699158576 | KERRI STANGE PT Individual | Physical Therapist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1356725923 | SAMANTHA JORDAN DPT Individual | Physical Therapist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 342-4748 |
| 1174908610 | JULIE GRABANDT PT, LAT Individual | Physical Therapist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 342-4748 |
| 1366810186 | MRS. AMY SUE HOERNER Individual | Physical Therapy Assistant | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1801264668 | JULIE TASHNER PT Individual | Physical Therapist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 342-4748 |
| 1184092900 | NICOLE RUNDE COTA Individual | Occupational Therapy Assistant | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1790192276 | MRS. JODI KNIGHT M.S., CCC-SLP Individual | Speech-Language Pathologist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1467903195 | DAYNA FIEDLER Individual | Occupational Therapy Assistant | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1255858536 | MRS. COLLEEN A WAGNER DPT Individual | Physical Therapist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1699281816 | BENTON ROSE ATC, LAT, PES Individual | Specialist/Technologist (Athletic Trainer) | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 342-5003 |
| 1699062398 | LAUREN SCHATZEDER D.O. Individual | Physical Medicine & Rehabilitation | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1174990543 | LINDSAY ROSE OSTWINKLE P.T. Individual | Physical Therapist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1629620653 | JESSICA WETTER COTA/L Individual | Occupational Therapy Assistant | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
| 1700439643 | ELLEN LOUISE FRIEDERICK Individual | Speech-Language Pathologist | 1400 EASTSIDE RD PLATTEVILLE, WI 53818 (608) 348-2331 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295199164, enumerated in the NPI registry as an "individual" on April 07, 2016
The provider is located at 1400 Eastside Rd Platteville, Wi 53818 and the phone number is (608) 342-4748
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 11 years of experience.
The provider might be accepting Accepts: Group Health Cooperative-SCW. 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 April 07, 2016. 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.