MUKWONAGO RAMILY REHABILITATION CLINIC, LLC
NPI 1457420648
Occupational Therapist in Mukwonago, WI

NPI Status: Active since November 06, 2006

Contact Information

727 COUNTY ROAD NN E
MUKWONAGO, WI
ZIP 53149
Phone: (262) 363-3014

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  • Organization
  • Occupational Therapist
  • CLIA Number: 52D2252084
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-07-2026

About MUKWONAGO RAMILY REHABILITATION CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Mukwonago Ramily Rehabilitation Clinic, Llc, a provider established in Mukwonago, Wisconsin operating as a Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1457420648 assigned on November 2006. The practitioner's primary taxonomy code is 225X00000X with license number 3746 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. Mukwonago Ramily Rehabilitation Clinic, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Rose L Hebar Pt (Owner)

NPI
1457420648
Provider Name
MUKWONAGO RAMILY REHABILITATION CLINIC, LLC
Entity Type
Organization
Location Address
727 COUNTY ROAD NN E MUKWONAGO, WI 53149
Location Phone
(262) 363-3014
Mailing Address
PO BOX 192 727 HWY NN MUKWONAGO, WI 53149
Mailing Phone
(262) 363-3014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
09-11-2025
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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 No.
3746
License State
WI
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.

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

3044 (WI)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSE L HEBAR PT

Authorized Official Title
OWNER
Authorized Official Phone
(262) 363-3014

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2252084
Facility Type
School/Student Health Service
Certificate Effective Date
February 08, 2024
Certificate Expiration Date
February 07, 2026
Laboratory Director
NOEL MENGHE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mukwonago Ramily Rehabilitation Clinic, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1457420648, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 5 → 10 → 1 4 → 8 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 8 + 2 + 0 + 6 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1457420648.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
727 COUNTY ROAD NN E
MUKWONAGO, WI 53149
Physical Therapist
727 COUNTY ROAD NN E
MUKWONAGO, WI 53149

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457420648, enumerated as an "organization" on November 06, 2006.

The provider is located at 727 COUNTY ROAD NN E MUKWONAGO, WI 53149 and the phone number is (262) 363-3014.

Occupational Therapist with taxonomy code 225X00000X.