MS. RIVER LYN FETTERER DPT
NPI 1093182404
Physical Therapist in Green Bay, WI

NPI Status: Active since September 01, 2015

Contact Information

835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 226-4143

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  • Individual
  • Female
  • Physical Therapist

About RIVER FETTERER

This page provides the complete NPI Profile along with additional information for River Fetterer, a provider established in Green Bay, Wisconsin with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1093182404 assigned on September 2015. The practitioner's primary taxonomy code is 225100000X with license number 13146-24 (WI). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1093182404
Provider Name
MS. RIVER LYN FETTERER DPT
Gender
Female
Entity Type
Individual
Location Address
835 S VAN BUREN ST GREEN BAY, WI 54301
Location Phone
(920) 226-4143
Mailing Address
3919 MENDOCINO LN APT 310 SHEBOYGAN, WI 53083
Mailing Phone
(920) 226-4143
Is Sole Proprietor?
No
Enumeration Date
09-01-2015
Last Update Date
10-23-2015
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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.
13146-24
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:

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
100048734MEDICAID (05)WI 

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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 1093182404, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 9 → 18 → 9 1 → 2 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 2 + 8 + 4 + 4 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093182404.

Other Providers at the Same Location


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

Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pediatrics (Neonatal-Perinatal Medicine)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pediatrics (Neonatal-Perinatal Medicine)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pediatrics (Neonatal-Perinatal Medicine)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Nuclear Medicine (Nuclear Imaging & Therapy)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Hospitalist
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Hospitalist
835 S VAN BUREN ST
GREEN BAY, WI 54301
Internal Medicine (Pulmonary Disease)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pediatrics (Pediatric Hematology-Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Dietitian, Registered
835 S VAN BUREN ST
GREEN BAY, WI 54301
Dietitian, Registered
835 S VAN BUREN ST
GREEN BAY, WI 54301
Nurse Practitioner
835 S VAN BUREN ST
GREEN BAY, WI 54301
Social Worker (Clinical)
835 S VAN BUREN ST
GREEN BAY, WI 54301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093182404, enumerated as an "individual" on September 01, 2015.

The provider is located at 835 S VAN BUREN ST GREEN BAY, WI 54301 and the phone number is (920) 226-4143.

Physical Therapist with taxonomy code 225100000X.

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