MARK NICHOLAS SULLIVAN PT
NPI 1679653455
Physical Therapist in Hillsboro, WI
NPI Status: Active since October 16, 2006
Contact Information
400 WATER AVE
ST JOSEPHS REHAB DEPARTMENT
HILLSBORO, WI
ZIP 54634
Phone: (608) 489-8260
Fax: (608) 489-8193
- Individual
- Male
- Physical Therapist
- Accepts Insurance
About MARK SULLIVAN
This page provides the complete NPI Profile along with additional information for Mark Sullivan, a provider established in Hillsboro, Wisconsin with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1679653455 assigned on October 2006. The practitioner's primary taxonomy code is 225100000X with license number 5549024 (WI). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1679653455
- Provider Name
- MARK NICHOLAS SULLIVAN PT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 400 WATER AVE ST JOSEPHS REHAB DEPARTMENT HILLSBORO, WI 54634
- Location Phone
- (608) 489-8260
- Location Fax
- (608) 489-8193
- Mailing Address
- 575 PINE AVE HILLSBORO, WI 54634
- Mailing Phone
- (608) 489-2733
- Mailing Fax
- (608) 489-8193
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-16-2006
- Last Update Date
- 07-08-2007
- 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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 5549024
- License State
- WI
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address 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:
- Premier $2,000 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,000 - 50% - HMO
- Premier $5,000 HDHP - HMO
- Premier $6,000 - 40% - HMO
- Premier $7,500 - HMO
- Premier $7,500 HDHP - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,400 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
- Premier HMO $3,500 HDHP - HMO
- Premier HMO $4,000 - 20% HDHP - HMO
- Premier HMO $5,000 - 20% HDHP - HMO
- Premier HMO $5,500 - 40% Copay - HMO
- Premier HMO $7,500 HDHP - HMO
- Premier HMO $750 - 10% - HMO
- Premier HMO $9,500 - HMO
- Premier POS $1,500 - 30% - POS
- Premier POS $2,500 - 20% Copay - POS
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.
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 |
|---|---|---|---|
| 40475300 | MEDICAID (05) | WI | |
| 5415000450861 | OTHER (01) | WI | DPI |
Reviews for MARK NICHOLAS SULLIVAN PT
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 1679653455, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HILLSBORO, WI 54634
HILLSBORO, WI 54634
HILLSBORO, WI 54634
HILLSBORO, WI 54634
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679653455, enumerated as an "individual" on October 16, 2006.
The provider is located at 400 WATER AVE ST JOSEPHS REHAB DEPARTMENT HILLSBORO, WI 54634 and the phone number is (608) 489-8260.
Physical Therapist with taxonomy code 225100000X.
The provider might be accepting Accepts: Security Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
