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
- 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
- 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
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) |
---|---|---|---|---|
1 | 225X00000X | Respiratory, 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. | |||||||||
1 | 4 | 1 | 7 | 1 | 6 | 0 | 1 | 6 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 2 | 7 | 2 | 6 | 0 | 1 | 12 | |
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 = 9 | 9 |
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 |
---|---|---|---|
1932325172 | MRS. CHRISTINE JO PETERSON MPT Individual | Physical Therapist | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1326282641 | SANDRA TOLLERS PTA Individual | Physical Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1972737146 | WENDY MITCHELL COTA Individual | Occupational Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1356575310 | GINA PFINGSTEN PT Individual | Physical Therapist | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1255566956 | DEBRA HEDIN COTA Individual | Occupational Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1184850026 | SUSAN NOWAK PTA Individual | Physical Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1659645026 | MS. SUSAN KAY OSTERN COTA Individual | Occupational Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1699049841 | MRS. MAXINE E. CODER PTA Individual | Physical Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1639413701 | KIMBERLY WISCHER DPT Individual | Physical Therapist | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1053794446 | SUPERIOR WI MANAGEMENT, LLC Organization | Skilled Nursing Facility | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1215487277 | EASTERN PODIATRY PLLC Organization | Podiatrist | 1800 NEW YORK AVE SUPERIOR, WI 54880 (718) 972-5000 |
1821520420 | SUPERIOR REHABILITATION CENTER LLC Organization | Skilled Nursing Facility | 1800 NEW YORK AVE SUPERIOR, WI 54880 (920) 453-7010 |
1457859837 | DENISE MARIE LATSCHER COTA/L; OTA Individual | Occupational Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1154963049 | INTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC Organization | General Practice | 1800 NEW YORK AVE SUPERIOR, WI 54880 (201) 870-1194 |
1356374367 | HP SUPERIOR INC Organization | Skilled Nursing Facility | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1700451473 | NICOLE SUSETTE MOLDENHAUER PTA Individual | Physical Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (651) 380-4866 |
1134794811 | DR. BOBBI MARIE-ANN HUOTARI DPT Individual | Physical Therapist | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1174758551 | MRS. CHRISTINA MARIE LEUZZO OTR/L Individual | Occupational Therapist | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1053029777 | ASHLEY LULICH Individual | Physical Therapy Assistant | 1800 NEW YORK AVE SUPERIOR, WI 54880 (715) 394-5591 |
1831974021 | GREAT LAKES REHABILITATION AND NURSING CENTER LLC Organization | Skilled Nursing Facility | 1800 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].
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