BIRCH BOUTIQUE LLC
NPI 1154045888
Mastectomy Fitter in Antigo, WI
NPI Status: Active since September 27, 2022
Contact Information
612 CLEMONT ST
STE #8
ANTIGO, WI
ZIP 54409
Phone: (715) 350-7174
Fax: (715) 716-4330
- Organization
- Mastectomy Fitter
- Medicare Supplier
- Accepts Medicare Approved Payment
About BIRCH BOUTIQUE LLC
This page provides the complete NPI Profile along with additional information for Birch Boutique Llc, a provider established in Antigo, Wisconsin operating as a Mastectomy Fitter. The healthcare provider is registered in the NPI registry with number 1154045888 assigned on September 2022. The practitioner's primary taxonomy code is 224900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Greta Tomany Rn,cmf (Owner)
- NPI
- 1154045888
- Provider Name
- BIRCH BOUTIQUE LLC
- Entity Type
- Organization
- Location Address
- 612 CLEMONT ST STE #8 ANTIGO, WI 54409
- Location Phone
- (715) 350-7174
- Location Fax
- (715) 716-4330
- Mailing Address
- 612 CLEMONT ST STE #8 ANTIGO, WI 54409
- Mailing Phone
- (715) 350-7174
- Mailing Fax
- (715) 716-4330
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-27-2022
- Last Update Date
- 02-29-2024
- Code Navigator
Birch Boutique Llc is a medicare supplier with PTAN 23281027 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Breast Prostheses and/or Accessories.
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
Mastectomy Fitter
- Taxonomy Code
- 224900000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 23281027
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other.
- Competitive Bidding
- NO
Supplies List
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
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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 1154045888, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154045888, enumerated as an "organization" on September 27, 2022.
The provider is located at 612 CLEMONT ST STE #8 ANTIGO, WI 54409 and the phone number is (715) 350-7174.
Mastectomy Fitter with taxonomy code 224900000X.
