MACKENZIE ANN LULLO AS, BAS, PTA
NPI 1063145712
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Wauconda, IL

NPI Status: Active since July 08, 2022

Contact Information

23525 W MILTON RD
WAUCONDA, IL
ZIP 60084
Phone: (847) 438-5400

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  • Individual
  • Female
  • Physical Medicine & Rehabilitation
  • Pediatric Rehabilitation Medicine

About MACKENZIE LULLO

This page provides the complete NPI Profile along with additional information for Mackenzie Lullo, a provider established in Wauconda, Illinois with a medical specialization in Physical Medicine & Rehabilitation, focusing in pediatric rehabilitation medicine . The healthcare provider is registered in the NPI registry with number 1063145712 assigned on July 2022. The practitioner's primary taxonomy code is 2081P0010X with license number 160.009537 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1063145712
Provider Name
MACKENZIE ANN LULLO AS, BAS, PTA
Gender
Female
Entity Type
Individual
Location Address
23525 W MILTON RD WAUCONDA, IL 60084
Location Phone
(847) 438-5400
Mailing Address
1513 EVERGREEN ST HOLIDAY HILLS, IL 60051
Mailing Phone
(815) 861-0856
Is Sole Proprietor?
No
Enumeration Date
07-08-2022
Last Update Date
07-08-2022
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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.
160.009537
License State
IL
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.

Insurance Plans Accepted

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

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.

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
1003094996OTHER (01)ILPEDIATRICS IN MOTION

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063145712, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 2 + 4 + 1 + 0 + 7 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1063145712.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapy Assistant
23525 W MILTON RD
WAUCONDA, IL 60084
Occupational Therapy Assistant
23525 W MILTON RD
WAUCONDA, IL 60084
Occupational Therapist
23525 W MILTON RD
WAUCONDA, IL 60084
Occupational Therapist
23525 W MILTON RD
WAUCONDA, IL 60084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063145712, enumerated as an "individual" on July 08, 2022.

The provider is located at 23525 W MILTON RD WAUCONDA, IL 60084 and the phone number is (847) 438-5400.

Physical Medicine & Rehabilitation with taxonomy code 2081P0010X and a focus in Pediatric Rehabilitation Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.