ADVANCE PHYSICAL THERAPY & SPORTS REHAB, LLC
NPI 1922363555
Clinic/Center - Physical Therapy in Beaver Dam, WI
NPI Status: Active since July 10, 2012
Contact Information
201 GATEWAY DR STE 300
BEAVER DAM, WI
ZIP 53916
Phone: (920) 356-0122
Fax: (920) 356-0470
- Organization
- Clinic/Center
- Physical Therapy
- Accepts Insurance
About ADVANCE PHYSICAL THERAPY & SPORTS REHAB, LLC
This page provides the complete NPI Profile along with additional information for Advance Physical Therapy & Sports Rehab, Llc, a provider established in Beaver Dam, Wisconsin operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1922363555 assigned on July 2012. The practitioner's primary taxonomy code is 261QP2000X with license number 9886024 (WI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Karren S Ko Pt (Owner)
- NPI
- 1922363555
- Provider Name
- ADVANCE PHYSICAL THERAPY & SPORTS REHAB, LLC
- Entity Type
- Organization
- Location Address
- 201 GATEWAY DR STE 300 BEAVER DAM, WI 53916
- Location Phone
- (920) 356-0122
- Location Fax
- (920) 356-0470
- Mailing Address
- PO BOX 775 BEAVER DAM, WI 53916
- Mailing Phone
- (920) 356-0122
- Mailing Fax
- (920) 356-0470
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2012
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 1626 N Spring St Ste B
Beaver Dam, WI 53916
(920) 356-0122
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.
- 9886024
- 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:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - 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 |
|---|---|---|---|
| 100028270 | MEDICAID (05) | WI | |
| 3182 | OTHER (01) | MEDICARE PTAN |
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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 1922363555, 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 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922363555, enumerated as an "organization" on July 10, 2012.
The provider is located at 201 GATEWAY DR STE 300 BEAVER DAM, WI 53916 and the phone number is (920) 356-0122.
Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
