MS. MARY J CROCKETT OTRL
NPI 1417160169
Occupational Therapist in Superior, WI

NPI Status: Active since May 08, 2007

Contact Information

1800 NEW YORK AVE
SUPERIOR, WI
ZIP 54880
Phone: (715) 394-5591

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  • Individual
  • Female
  • Occupational Therapist
  • Accepts Insurance

About MARY CROCKETT

This page provides the complete NPI Profile along with additional information for Mary Crockett, a provider established in Superior, Wisconsin with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1417160169 assigned on May 2007. The practitioner's primary taxonomy code is 225X00000X with license number 4163026 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1417160169
Provider Name
MS. MARY J CROCKETT OTRL
Gender
Female
Entity Type
Individual
Location Address
1800 NEW YORK AVE SUPERIOR, WI 54880
Location Phone
(715) 394-5591
Mailing Address
21 GREEN LANE SILVER BAY, MN 55614
Mailing Phone
(218) 226-0194
Is Sole Proprietor?
No
Enumeration Date
05-08-2007
Last Update Date
07-08-2007
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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

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
4163026
License State
WI
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

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

101276 (MN)

Insurance Plans Accepted

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

  • Avera $1800 - PPO
  • Avera $2000 - PPO
  • Avera $4000 - PPO
  • Avera $4500 - PPO
  • Avera $6000 - PPO
  • Avera $7500 HSA Eligible HDHP - PPO
  • Avera $9200 - PPO
  • Avera Standard $1500 - PPO
  • Avera Standard $5000 - PPO
  • Avera Standard $7500 - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Share - EPO

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

Reviews for MS. MARY J CROCKETT OTRL

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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.
1417160169
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427260112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 2 + 6 + 0 + 1 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1417160169 is valid because the calculated check digit 9 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
1932325172MRS. CHRISTINE JO PETERSON MPT
Individual
Physical Therapist1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1326282641 SANDRA TOLLERS PTA
Individual
Physical Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1972737146 WENDY MITCHELL COTA
Individual
Occupational Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1356575310 GINA PFINGSTEN PT
Individual
Physical Therapist1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1255566956 DEBRA HEDIN COTA
Individual
Occupational Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1184850026 SUSAN NOWAK PTA
Individual
Physical Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1659645026MS. SUSAN KAY OSTERN COTA
Individual
Occupational Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1699049841MRS. MAXINE E. CODER PTA
Individual
Physical Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1639413701 KIMBERLY WISCHER DPT
Individual
Physical Therapist1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1053794446SUPERIOR WI MANAGEMENT, LLC
Organization
Skilled Nursing Facility1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1215487277EASTERN PODIATRY PLLC
Organization
Podiatrist1800 NEW YORK AVE
SUPERIOR, WI 54880
(718) 972-5000
1821520420SUPERIOR REHABILITATION CENTER LLC
Organization
Skilled Nursing Facility1800 NEW YORK AVE
SUPERIOR, WI 54880
(920) 453-7010
1457859837 DENISE MARIE LATSCHER COTA/L; OTA
Individual
Occupational Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1154963049INTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC
Organization
General Practice1800 NEW YORK AVE
SUPERIOR, WI 54880
(201) 870-1194
1356374367HP SUPERIOR INC
Organization
Skilled Nursing Facility1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1700451473 NICOLE SUSETTE MOLDENHAUER PTA
Individual
Physical Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(651) 380-4866
1134794811DR. BOBBI MARIE-ANN HUOTARI DPT
Individual
Physical Therapist1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1174758551MRS. CHRISTINA MARIE LEUZZO OTR/L
Individual
Occupational Therapist1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1053029777 ASHLEY LULICH
Individual
Physical Therapy Assistant1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591
1831974021GREAT LAKES REHABILITATION AND NURSING CENTER LLC
Organization
Skilled Nursing Facility1800 NEW YORK AVE
SUPERIOR, WI 54880
(715) 394-5591

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417160169, enumerated in the NPI registry as an "individual" on May 08, 2007

The provider is located at 1800 New York Ave Superior, Wi 54880 and the phone number is (715) 394-5591

The provider's speciality is Occupational Therapist with taxonomy code 225X00000X

The provider might be accepting Accepts: Avera Health Plans and Medica. 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 08, 2007. 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.