PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC
NPI 1629368337
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Wauwatosa, WI

NPI Status: Active since April 14, 2011

Contact Information

3333 N. MAYFAIR RD
SUITE 103
WAUWATOSA, WI
ZIP 53222
Phone: (262) 527-1998
Fax: (866) 562-3609

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  • Organization
  • Physical Medicine & Rehabilitation
  • Pediatric Rehabilitation Medicine
  • Accepts Insurance

About PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC

This page provides the complete NPI Profile along with additional information for Pediatric Rehabilitation Medicine Associates,llc, a provider established in Wauwatosa, Wisconsin operating as a Physical Medicine & Rehabilitation, focusing in pediatric rehabilitation medicine . The healthcare provider is registered in the NPI registry with number 1629368337 assigned on April 2011. The practitioner's primary taxonomy code is 2081P0010X with license number 32483020 (WI). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Elizabeth Moberg-wolff Md (Owner)

NPI
1629368337
Provider Name
PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC
Entity Type
Organization
Location Address
3333 N. MAYFAIR RD SUITE 103 WAUWATOSA, WI 53222
Location Phone
(262) 527-1998
Location Fax
(866) 562-3609
Mailing Address
18970 CAVENDISH RD BROOKFIELD, WI 53045
Mailing Phone
(262) 527-1998
Mailing Fax
(866) 562-3609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2011
Last Update Date
02-01-2023
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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 Medicine & Rehabilitation Pediatric Rehabilitation Medicine

Taxonomy Code
2081P0010X
Type
Allopathic & Osteopathic Physicians
License No.
32483020
License State
WI
Taxonomy Description
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Chorus Bronze Complete - EPO
  • Chorus Bronze HDHP - EPO
  • Chorus Catastrophic - EPO
  • Chorus Core Bronze - EPO
  • Chorus Core Gold - EPO
  • Chorus Core Silver - EPO
  • Chorus Elite Gold - EPO
  • Chorus Gold - EPO
  • Chorus Silver - EPO
  • Chorus Silver Select - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
  • Prevea360 Bronze HSA - HMO
  • Prevea360 Bronze Share - HMO
  • Prevea360 Catastrophic - HMO
  • Prevea360 Expanded Bronze Standard - HMO
  • Prevea360 Gold HSA - HMO
  • Prevea360 Gold Share - HMO
  • Prevea360 Gold Standard - HMO
  • Prevea360 Silver $0 Copay PCP Visits - HMO
  • Prevea360 Silver Share - HMO
  • Prevea360 Silver Standard - HMO

*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

ELIZABETH MOBERG-WOLFF MD

Authorized Official Title
OWNER
Authorized Official Phone
(262) 527-1998

Reviews for PEDIATRIC REHABILITATION MEDICINE ASSOCIATES,LLC

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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.
1629368337
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649661636
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 6 + 6 + 1 + 6 + 3 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1629368337 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629368337, enumerated in the NPI registry as an "organization" on April 14, 2011

The provider is located at 3333 N. Mayfair Rd Suite 103 Wauwatosa, Wi 53222 and the phone number is (262) 527-1998

This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P0010X with a focus in Pediatric Rehabilitation Medicine

The provider might be accepting Accepts: Chorus Community Health Plans, Common Ground. 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 14, 2011. 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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