BRETT NIEHAUS DPT
NPI 1366827180
Physical Therapist - Orthopedic in Bloomington, IN

NPI Status: Active since July 22, 2015

Contact Information

2605 E CREEKS EDGE DR
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 333-2663

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  • Individual
  • Male
  • Years of Experience 11
  • Physical Therapist
  • Orthopedic
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About BRETT NIEHAUS

This page provides the complete NPI Profile along with additional information for Brett Niehaus, a provider established in Bloomington, Indiana with a medical specialization in Physical Therapist, focusing in orthopedic and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1366827180 assigned on July 2015. The practitioner's primary taxonomy code is 2251X0800X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1366827180
Provider Name
BRETT NIEHAUS DPT
Gender
Male
Entity Type
Individual
Location Address
2605 E CREEKS EDGE DR BLOOMINGTON, IN 47401
Location Phone
(812) 333-2663
Mailing Address
2605 E CREEKS EDGE DR BLOOMINGTON, IN 47401
Mailing Phone
(812) 630-9263
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
07-22-2015
Last Update Date
04-22-2022
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Location Map

Secondary Locations

  • 1185 W Carmel Dr Bldg C
    Carmel, IN 46032
    (317) 415-6980
  • 601 W 2nd St
    Bloomington, IN 47403
    (812) 353-3377

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 Orthopedic

Taxonomy Code
2251X0800X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

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)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

05011987A (IN)

Insurance Plans Accepted

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

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

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

Medicare Participation & PECOS Enrollment Status

Brett Niehaus 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: 5698075687

    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: I20180112001592

    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.

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 34 times for 34 patients

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 36 times for 34 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 1,185 times for 162 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 192 times for 59 patients

Reviews for BRETT NIEHAUS DPT

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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 1366827180, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 6 → 12 → 3 8 → 16 → 7 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 6 + 2 + 1 + 4 + 1 + 1 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1366827180.

Other Providers at the Same Location


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

Family Medicine
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physician Assistant
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Family Medicine (Sports Medicine)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Specialist/Technologist (Athletic Trainer)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Orthopaedic Surgery
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Family Medicine (Sports Medicine)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Occupational Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Occupational Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Occupational Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist (Orthopedic)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Occupational Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366827180, enumerated as an "individual" on July 22, 2015.

The provider is located at 2605 E CREEKS EDGE DR BLOOMINGTON, IN 47401 and the phone number is (812) 333-2663.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.