WEST BEND PHYSICAL THERAPY, LLC
NPI 1497046254
Clinic/Center - Physical Therapy in West Bend, WI

NPI Status: Active since April 28, 2011

Contact Information

279 S 17TH AVE
SUITE 3
WEST BEND, WI
ZIP 53095
Phone: (262) 689-6853
Fax: (262) 335-0514

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  • Organization
  • Clinic/Center
  • Physical Therapy

About WEST BEND PHYSICAL THERAPY, LLC

This page provides the complete NPI Profile along with additional information for West Bend Physical Therapy, Llc, a provider established in West Bend, Wisconsin operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1497046254 assigned on April 2011. The practitioner's primary taxonomy code is 261QP2000X with license number 1848-024 (WI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Jeffery Kreuser (Owner)

NPI
1497046254
Provider Name
WEST BEND PHYSICAL THERAPY, LLC
Entity Type
Organization
Location Address
279 S 17TH AVE SUITE 3 WEST BEND, WI 53095
Location Phone
(262) 689-6853
Location Fax
(262) 335-0514
Mailing Address
279 S. 17TH AVENUE SUITE 3 WEST BEND, WI 53095
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2011
Last Update Date
04-28-2011
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
1848-024
License State
WI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

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

MR. JEFFERY KREUSER

Authorized Official Title
OWNER
Authorized Official Phone
(262) 689-6853

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000085309MEDICARE PIN (08)WI 
40121700MEDICAID (05)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497046254
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241870412210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 0 + 4 + 1 + 2 + 2 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1497046254 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

MR. JEFFERY L KREUSER LPT

Physical Therapist

279 S 17TH AVE
SUITE 3
WEST BEND, WI
ZIP 53095

(262) 335-0514

MRS. MICHELLE LYNN BINGEN LCSW

Social Worker

279 S 17TH AVE
SUITE 10
WEST BEND, WI
ZIP 53095

(262) 306-8994

DIANNE MARIE SMITH-O'CONNOR LCSW

Counselor

(Mental Health)

279 S 17TH AVE
WEST BEND, WI
ZIP 53095

(262) 542-3255

MRS. KAREN MARIE GUHL OTR

Occupational Therapist

279 S 17TH AVE
ST 10A
WEST BEND, WI
ZIP 53095

(262) 335-2094

OCCUPATIONAL THERAPY AND HAND CLINIC LLC

Occupational Therapist

279 S 17TH AVE
ST 10A
WEST BEND, WI
ZIP 53095

(262) 335-2094

MRS. CHRISTINE M ZIMMERMANN CSAC

Counselor

(Addiction (Substance Use Disorder))

279 S 17TH AVE
SUITE 9
WEST BEND, WI
ZIP 53095

(262) 306-4392

ANDREA NEWTON

Counselor

(Mental Health)

279 S 17TH AVE
SUITE 10
WEST BEND, WI
ZIP 53095

(262) 542-3255

MRS. MARY JEAN GONWA LCSW

Social Worker

279 S 17TH AVE
SUITE 10
WEST BEND, WI
ZIP 53095

(262) 306-9317

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497046254, enumerated as an "organization" on April 28, 2011.

The provider is located at 279 S 17TH AVE SUITE 3 WEST BEND, WI 53095 and the phone number is (262) 689-6853.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.