MIA ANICA KHEY FUENTEBELLA PT NPI 1710558465
Physical Therapist in Danville, IL

Individual Female Physical Therapist

About MIA ANICA KHEY FUENTEBELLA PT

Mia Anica Fuentebella is a provider established in Danville, Illinois and her medical specialization is Physical Therapist. The NPI number of Mia Anica Fuentebella is 1710558465 and was assigned on July 2021. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1710558465
Provider Name MIA ANICA KHEY FUENTEBELLA PT
Provider Location Address812 N LOGAN AVE DANVILLE, IL 61832
Provider Mailing Address4510 NICKLAUS DR APT 105 CHAMPAIGN, IL 61822
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date07-05-2021
Last Update Date07-05-2021



Mia Anica Fuentebella is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy DescriptionPhysical 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

MIA ANICA KHEY FUENTEBELLA PT
812 N LOGAN AVE
DANVILLE, IL
ZIP 61832
Phone: (217) 443-5000

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Mailing Address

MIA ANICA KHEY FUENTEBELLA PT
4510 NICKLAUS DR APT 105
CHAMPAIGN, IL
ZIP 61822
Phone:


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.
1710558465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272010516412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 0 + 5 + 1 + 6 + 4 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1710558465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1770585267 DAMON C. GREEN M.D.
Individual
Anesthesiology812 N LOGAN AVE ANESTHESIA
DANVILLE, IL 61832
(217) 477-2940
1528048816 EDWARD C FARKAS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000
1912932484 CHILAKAPATI V RAMAPRASAD MD
Individual
Radiology (Diagnostic Radiology)812 N LOGAN AVE
DANVILLE, IL 61832
(217) 431-8413
1508883067 SHARON GIRARD P.A.-C
Individual
Physician Assistant812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000
1528079688 DONG KOO MD
Individual
Anesthesiology812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000
1114938263 SUGUNA SIRAMDASU MD
Individual
Anesthesiology812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000
1629167499CLINICAL PATHOLOGY ASSOCIATES
Organization
Clinical Medical Laboratory812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5622
1366517583PREMIER ANESTHESIA OF DANVILLE
Organization
Anesthesiology812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000
1295800266 CYNTHIA NKANA MD
Individual
Anesthesiology812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000
1790999514DR. REBECCA ANN TAYLOR PHARM.D.
Individual
Pharmacist (Pharmacotherapy)812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5250
1790983823 CARRIE L MCKINNEY RD
Individual
Dietitian, Registered812 N LOGAN AVE LOGAN CAMPUS
DANVILLE, IL 61832
(215) 493-4025
1174711709MRS. KARLEEN MARIE HAVRILLA P.T.
Individual
Physical Therapist812 N LOGAN AVE PHYSICAL THERAPY
DANVILLE, IL 61832
(217) 443-5642
1396933990MR. CHARLENE BETH RIECHES PTA
Individual
Physical Therapy Assistant812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000
1740478213 JULIE ANN KUHLMANN
Individual
Occupational Therapy Assistant812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5642
1881859692 KELLY L BOEGER
Individual
Dietary Manager812 N LOGAN AVE PROVENA UNITED SAMARITANS MEDICAL CENT
DANVILLE, IL 61832
(217) 443-5000
1295054369PROVENA HOSPITALS
Organization
Internal Medicine (Hematology & Oncology)812 N LOGAN AVE
DANVILLE, IL 61832
(217) 448-5000
1982980124 MARY PATRICIA BECKER RN, MSN, FNP-BC
Individual
Nurse Practitioner812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5221
1912277443EAST CENTRAL ILLINOIS RADIOLOGY ASSOCIATES, LLC
Organization
Radiology (Diagnostic Radiology)812 N LOGAN AVE RADIOLOGY DEPT
DANVILLE, IL 61832
(217) 443-5000
1457386922 JAGANNADHARAO BRAHMAMDAM MD
Individual
Radiology (Diagnostic Radiology)812 N LOGAN AVE
DANVILLE, IL 61832
(217) 431-8413
1164447058ILLIANA EMERGENCY PHYSICIANS, LLP
Organization
Emergency Medicine812 N LOGAN AVE
DANVILLE, IL 61832
(217) 443-5000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mia Anica Khey Fuentebella Pt is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.