MARIE KUJAWA
NPI 1205227501
Physical Therapist - Sports in Hartford, WI

NPI Status: Active since February 09, 2015

Contact Information

110 LONE OAK LN
HARTFORD HEALTH CENTER
HARTFORD, WI
ZIP 53027
Phone: (262) 670-1800
Fax: (262) 836-1601

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  • Individual
  • Female
  • Years of Experience 25
  • Physical Therapist
  • Sports
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About MARIE KUJAWA

This page provides the complete NPI Profile along with additional information for Marie Kujawa, a provider established in Hartford, Wisconsin with a medical specialization in Physical Therapist, focusing in sports and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1205227501 assigned on February 2015. The practitioner's primary taxonomy code is 2251S0007X with license number 371-39 (WI). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1205227501
Provider Name
MARIE KUJAWA
Gender
Female
Entity Type
Individual
Location Address
110 LONE OAK LN HARTFORD HEALTH CENTER HARTFORD, WI 53027
Location Phone
(262) 670-1800
Location Fax
(262) 836-1601
Mailing Address
110 LONE OAK LN HARTFORD HEALTH CENTER HARTFORD, WI 53027
Mailing Phone
(262) 670-1800
Mailing Fax
(262) 836-1601
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
02-09-2015
Last Update Date
02-08-2016
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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 Sports

Taxonomy Code
2251S0007X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
371-39
License State
WI
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Marie Kujawa 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: 4981901949

    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: I20160318001578

    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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 432 times for 20 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 171 times for 11 patients

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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 1205227501, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 4 + 2 + 1 + 4 + 5 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1205227501.

Other Providers at the Same Location


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

Physical Therapist
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Internal Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Physical Therapist
110 LONE OAK LN
HARTFORD, WI 53027
Physical Therapist
110 LONE OAK LN, HARTFORD HEALTH CENTER
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Nurse Practitioner (Family)
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN
HARTFORD, WI 53027
Specialist/Technologist (Athletic Trainer)
110 LONE OAK LN
HARTFORD, WI 53027
Physician Assistant (Medical)
110 LONE OAK LN
HARTFORD, WI 53027
Physical Therapist
110 LONE OAK LN
HARTFORD, WI 53027
Nurse Practitioner (Family)
110 LONE OAK LN
HARTFORD, WI 53027
Durable Medical Equipment & Medical Supplies
110 LONE OAK LN
HARTFORD, WI 53027
Physical Therapist
110 LONE OAK LN
HARTFORD, WI 53027
Family Medicine
110 LONE OAK LN, HARTFORD HEALTH CENTER
HARTFORD, WI 53027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205227501, enumerated as an "individual" on February 09, 2015.

The provider is located at 110 LONE OAK LN HARTFORD HEALTH CENTER HARTFORD, WI 53027 and the phone number is (262) 670-1800.

Physical Therapist with taxonomy code 2251S0007X and a focus in Sports.

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