SUNDANCE REHABILITATION LLC
NPI 1073912119
Clinic/Center - Rehabilitation in Deforest, WI
NPI Status: Active since August 14, 2014
Contact Information
6902 PARKSIDE CIR
DEFOREST, WI
ZIP 53532
Phone: (610) 925-4560
- Organization
- Clinic/Center
- Rehabilitation
- Accepts Insurance
About SUNDANCE REHABILITATION LLC
This page provides the complete NPI Profile along with additional information for Sundance Rehabilitation Llc, a provider established in Deforest, Wisconsin operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1073912119 assigned on August 2014. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ian Oppel (Coo)
- NPI
- 1073912119
- Provider Name
- SUNDANCE REHABILITATION LLC
- Entity Type
- Organization
- Location Address
- 6902 PARKSIDE CIR DEFOREST, WI 53532
- Location Phone
- (610) 925-4560
- Mailing Address
- 101 E STATE ST KENNETT SQUARE, PA 19348
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2014
- Last Update Date
- 03-25-2025
- Code Navigator
Location Map
Secondary Locations
- 597 Kingswood Ave
Fond Du Lac, WI 54935
(920) 238-3032
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
Clinic/Center Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1073912119, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
DEFOREST, WI 53532
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073912119, enumerated as an "organization" on August 14, 2014.
The provider is located at 6902 PARKSIDE CIR DEFOREST, WI 53532 and the phone number is (610) 925-4560.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
