KELLY HAWTHORNE
NPI 1144094269
Physical Therapist - Geriatrics in Cedar Rapids, IA
NPI Status: Active since November 09, 2023
Contact Information
701 10TH ST SE
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 398-6915
- Individual
- Female
- Years of Experience 21
- Physical Therapist
- Geriatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
About KELLY HAWTHORNE
This page provides the complete NPI Profile along with additional information for Kelly Hawthorne, a provider established in Cedar Rapids, Iowa with a medical specialization in Physical Therapist, focusing in geriatrics and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1144094269 assigned on November 2023. The practitioner's primary taxonomy code is 2251G0304X with license number 03085 (IA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1144094269
- Provider Name
- KELLY HAWTHORNE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 10TH ST SE CEDAR RAPIDS, IA 52403
- Location Phone
- (319) 398-6915
- Mailing Address
- 2456 BLUEGRASS ST MARION, IA 52302
- Mailing Phone
- (773) 531-4547
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-09-2023
- Last Update Date
- 11-09-2023
- 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
Physical Therapist Geriatrics
- Taxonomy Code
- 2251G0304X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 03085
- License State
- IA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kelly Hawthorne is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3577912732
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231213001446
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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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 1144094269, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
CEDAR RAPIDS, IA 52403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144094269, enumerated as an "individual" on November 09, 2023.
The provider is located at 701 10TH ST SE CEDAR RAPIDS, IA 52403 and the phone number is (319) 398-6915.
Physical Therapist with taxonomy code 2251G0304X and a focus in Geriatrics.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
