CORA PHYSICAL THERAPY - PLEASANT PRAIRIE
NPI 1104497015
Clinic/Center - Rehabilitation in Pleasant Prairie, WI

NPI Status: Active since July 02, 2021

Contact Information

9809 39TH AVE STE 2
PLEASANT PRAIRIE, WI
ZIP 53158
Phone: (262) 925-5080
Fax: (262) 925-5081

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  • Organization
  • Clinic/Center
  • Rehabilitation
  • Accepts Insurance

About CORA PHYSICAL THERAPY - PLEASANT PRAIRIE

This page provides the complete NPI Profile along with additional information for Cora Physical Therapy - Pleasant Prairie, a provider established in Pleasant Prairie, Wisconsin operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1104497015 assigned on July 2021. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Cora Physical Therapy - Pleasant Prairie. The authorized official of this NPI record is Steve Krzyminski (Exec. Vp)

NPI
1104497015
Provider Legal Name
ADVANTAGE PHYSICAL THERAPY & SPORTS REHAB, LLC
Other Organization Name
CORA PHYSICAL THERAPY - PLEASANT PRAIRIE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9809 39TH AVE STE 2 PLEASANT PRAIRIE, WI 53158
Location Phone
(262) 925-5080
Location Fax
(262) 925-5081
Mailing Address
PO BOX 150 LIMA, OH 45802
Mailing Phone
(419) 221-6717
Mailing Fax
(262) 925-5081
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2021
Last Update Date
02-27-2024
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Location Map

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 Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • 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 Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • 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 Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • 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

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.

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

STEVE KRZYMINSKI

Authorized Official Title
EXEC. VP
Authorized Official Phone
(419) 221-6717

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
100217225MEDICAID (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 1104497015, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 0 → 0 4 → 8 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 8 + 9 + 1 + 4 + 0 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104497015.

Other Providers at the Same Location


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

Physical Therapist
9809 39TH AVE STE 2
PLEASANT PRAIRIE, WI 53158
Physical Therapist
9809 39TH AVE STE 2
PLEASANT PRAIRIE, WI 53158
Physical Therapy Assistant
9809 39TH AVE STE 2
PLEASANT PRAIRIE, WI 53158
Physical Therapist
9809 39TH AVE STE 2
PLEASANT PRAIRIE, WI 53158

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104497015, enumerated as an "organization" on July 02, 2021.

The provider is located at 9809 39TH AVE STE 2 PLEASANT PRAIRIE, WI 53158 and the phone number is (262) 925-5080.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.