SOUTHPORT REHAB ASSOCIATES, INC
NPI 1114929064
Clinic/Center - Rehabilitation in Kenosha, WI
NPI Status: Active since August 11, 2005
Contact Information
7201 GREEN BAY RD
KENOSHA, WI
ZIP 53142
Phone: (262) 694-3977
Fax: (262) 694-5648
- Organization
- Clinic/Center
- Rehabilitation
- Accepts Insurance
About SOUTHPORT REHAB ASSOCIATES, INC
This page provides the complete NPI Profile along with additional information for Southport Rehab Associates, Inc, a provider established in Kenosha, Wisconsin operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1114929064 assigned on August 2005. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. William H Letsom P.t. (President)
- NPI
- 1114929064
- Provider Name
- SOUTHPORT REHAB ASSOCIATES, INC
- Entity Type
- Organization
- Location Address
- 7201 GREEN BAY RD KENOSHA, WI 53142
- Location Phone
- (262) 694-3977
- Location Fax
- (262) 694-5648
- Mailing Address
- 7201 GREEN BAY RD KENOSHA, WI 53142
- Mailing Phone
- (262) 694-3977
- Mailing Fax
- (262) 694-5648
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2005
- Last Update Date
- 04-10-2008
- Code Navigator
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
- License State
- WI
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
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 |
|---|---|---|---|
| 526533 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | |
| 41695100 | MEDICAID (05) | WI | |
| 41811000 | MEDICAID (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 1114929064, 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.
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
KENOSHA, WI 53142
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114929064, enumerated as an "organization" on August 11, 2005.
The provider is located at 7201 GREEN BAY RD KENOSHA, WI 53142 and the phone number is (262) 694-3977.
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.
