MR. WINSTON FOLKES JR. OTR
NPI 1285247122
Occupational Therapist in Dover, DE

NPI Status: Active since August 29, 2020

Contact Information

1125 FORREST AVE
DOVER, DE
ZIP 19904
Phone: (302) 735-4900

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 8
  • Occupational Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About WINSTON FOLKES

This page provides the complete NPI Profile along with additional information for Winston Folkes, a provider established in Dover, Delaware with a medical specialization in Occupational Therapist and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1285247122 assigned on August 2020. The practitioner's primary taxonomy code is 225X00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago. Winston Folkes operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1285247122
Provider Name
MR. WINSTON FOLKES JR. OTR
Gender
Male
Entity Type
Individual
Location Address
1125 FORREST AVE DOVER, DE 19904
Location Phone
(302) 735-4900
Mailing Address
105 BUROOJY CT E STROUDSBURG, PA 18302
Mailing Phone
(570) 460-7157
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
Yes
Enumeration Date
08-29-2020
Last Update Date
08-29-2020
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

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License State
DE
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

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

Medicare Participation & PECOS Enrollment Status

Winston Folkes 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: 1052721289

    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: I20201029001373

    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.

Application of hot wax bath

A hot wax bath, also known as paraffin wax treatment, is a therapy often used for pain relief in your hands, feet, or other areas. The warm wax helps increase blood flow, relax muscles, and reduce stiffness in joints. It's completely safe and can be especially beneficial for those with arthritis or other similar conditions.

This service was performed 83 times for 14 patients

Application of ultrasound, each 15 minutes

Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.

This service was performed 63 times for 11 patients

Application of whirlpool therapy

Whirlpool therapy involves submerging a body part or the whole body in heated water. The swirling water helps to improve blood circulation, relax muscles, and promote healing. It's often used for conditions like arthritis, muscle strains, and post-surgical rehab.

This service was performed 128 times for 17 patients

Evaluation for occupational therapy, typically 30 minutes

An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.

This service was performed 29 times for 28 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 363 times for 37 patients

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 350 times for 42 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 364 times for 42 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 336 times for 38 patients

Reviews for MR. WINSTON FOLKES JR. OTR

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1285247122, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 8 → 16 → 7 2 → 4 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 4 + 4 + 1 + 4 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1285247122.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
1125 FORREST AVE, SUITE 203
DOVER, DE 19904
Home Health
1125 FORREST AVE, SUITE 201
DOVER, DE 19904
Home Health
1125 FORREST AVE, SUITE 201
DOVER, DE 19904
Physical Therapist
1125 FORREST AVE, SUITE 101
DOVER, DE 19904
Physical Therapist
1125 FORREST AVE, SUITE 3
DOVER, DE 19904
Internal Medicine (Geriatric Medicine)
1125 FORREST AVE
DOVER, DE 19904
Clinic/Center (Adult Day Care)
1125 FORREST AVE
DOVER, DE 19904
Physical Therapist
1125 FORREST AVE, SUITE 101
DOVER, DE 19904
Physical Therapist
1125 FORREST AVE, 101
DOVER, DE 19904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285247122, enumerated as an "individual" on August 29, 2020.

The provider is located at 1125 FORREST AVE DOVER, DE 19904 and the phone number is (302) 735-4900.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.