MS. MARISSA BACON PT, DPT
NPI 1073068722
Physical Therapist in Kenosha, WI

NPI Status: Active since August 23, 2016

Contact Information

10400 75TH ST
KENOSHA, WI
ZIP 53142
Phone: (262) 948-3600

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  • Individual
  • Female
  • Physical Therapist
  • Accepts Insurance

About MARISSA BACON

This page provides the complete NPI Profile along with additional information for Marissa Bacon, a provider established in Kenosha, Wisconsin with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1073068722 assigned on August 2016. The practitioner's primary taxonomy code is 225100000X with license number 13544-24 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1073068722
Provider Name
MS. MARISSA BACON PT, DPT
Gender
Female
Entity Type
Individual
Location Address
10400 75TH ST KENOSHA, WI 53142
Location Phone
(262) 948-3600
Mailing Address
10400 75TH ST KENOSHA, WI 53142
Is Sole Proprietor?
No
Enumeration Date
08-23-2016
Last Update Date
11-19-2021
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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 Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
13544-24
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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

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

  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 87 times for 16 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 90 times for 22 patients

Reviews for MS. MARISSA BACON PT, DPT

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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 1073068722, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
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 7 → 14 → 5 0 → 0 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 0 + 6 + 1 + 6 + 7 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1073068722.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Social Worker (Clinical)
10400 75TH ST, #307
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Neonatal)
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142
Physical Therapy Assistant
10400 75TH ST
KENOSHA, WI 53142
Physical Therapist
10400 75TH ST
KENOSHA, WI 53142
Specialist/Technologist, Other (Surgical Assistant)
10400 75TH ST
KENOSHA, WI 53142
Psychiatry & Neurology (Neurology)
10400 75TH ST, SUITE 315
KENOSHA, WI 53142
Nurse Practitioner
10400 75TH ST
KENOSHA, WI 53142
Pharmacist
10400 75TH ST
KENOSHA, WI 53142
Neurological Surgery
10400 75TH ST
KENOSHA, WI 53142
Family Medicine
10400 75TH ST
KENOSHA, WI 53142
Obstetrics & Gynecology (Gynecology)
10400 75TH ST
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073068722, enumerated as an "individual" on August 23, 2016.

The provider is located at 10400 75TH ST KENOSHA, WI 53142 and the phone number is (262) 948-3600.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare) and Quartz. Please consult your insurance carrier or call the provider to verify.