MR. SCOTT PATRIC SULLIVAN M.H.A.,A.T.C, R.K.T.
NPI 1033496179
Specialist/Technologist - Athletic Trainer in Longmont, CO

NPI Status: Active since November 03, 2011

Contact Information

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501
Phone: (303) 684-9525
Fax: (303) 774-7899

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About SCOTT SULLIVAN

This page provides the complete NPI Profile along with additional information for Scott Sullivan, a provider established in Longmont, Colorado with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1033496179 assigned on November 2011. The practitioner's primary taxonomy code is 2255A2300X with license number 609 (CO). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1033496179
Provider Name
MR. SCOTT PATRIC SULLIVAN M.H.A.,A.T.C, R.K.T.
Gender
Male
Entity Type
Individual
Location Address
205 S MAIN ST SUITE C LONGMONT, CO 80501
Location Phone
(303) 684-9525
Location Fax
(303) 774-7899
Mailing Address
1520 RED MOUNTAIN DR LONGMONT, CO 80504
Mailing Phone
(303) 684-9525
Mailing Fax
(303) 774-7899
Is Sole Proprietor?
Yes
Enumeration Date
11-03-2011
Last Update Date
11-03-2011
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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

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
609
License State
CO
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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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.
1033496179
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20638912114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 8 + 9 + 1 + 2 + 1 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1033496179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

JOHN CHRISTOPHER FUESTON M.D.

Dermatology

205 S MAIN ST
SUITE E
LONGMONT, CO
ZIP 80501

(303) 485-8913

MRS. AMBER RAE PAYNE P.A.

Physician Assistant

(Medical)

205 S MAIN ST
STE. B
LONGMONT, CO
ZIP 80501

(303) 772-6624

ASHLEY BOURGOIS

Physical Therapy Assistant

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

WILLIAM FORD

Nurse Practitioner

(Occupational Health)

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

HOUSE CALL PHYSICIANS, PC

Family Medicine

(Geriatric Medicine)

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 579-5466

NATHANIEL FOSTER PTA

Physical Therapy Assistant

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

COLORADO ENDOSCOPY CENTERS, LLC

Clinic/Center

(Ambulatory Surgical)

205 S MAIN ST
SUITE A
LONGMONT, CO
ZIP 80501

(303) 532-2986

WORKWELL OCCUPATIONAL MEDICINE

Clinic/Center

(Occupational Medicine)

205 S MAIN ST
LONGMONT, CO
ZIP 80501

(303) 702-1612

TWIN PEAKS DERMATOLOGY, PC

Dermatology

205 S MAIN ST
SUITE E
LONGMONT, CO
ZIP 80501

(303) 485-8913

MRS. DIANE PATRICIA SMITH NURSE PRACTITIONER

Nurse Practitioner

(Family)

205 S MAIN ST
SUITE B
LONGMONT, CO
ZIP 80501

(303) 772-6244

MOHAMMAD KARBASSI M.D.

Ophthalmology

205 S MAIN ST
SUITE D
LONGMONT, CO
ZIP 80501

(303) 772-3611

FRONT RANGE EYE PHYSICIANS PC

Ophthalmology

205 S MAIN ST
SUITE D
LONGMONT, CO
ZIP 80501

(303) 772-3611

SUN LEE PTA

Physical Therapy Assistant

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

FRONT RANGE GASTROENTEROLOGY ASSOCIATES

Specialist

205 S MAIN ST
SUITE A
LONGMONT, CO
ZIP 80501

(303) 776-6115

JOHN PETER MARS MD

Preventive Medicine

(Preventive Medicine/Occupational Environmental Medicine)

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

MR. EVAN MATTHEW LITTLE P.T.

Physical Therapist

(Orthopedic)

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

WORKWELL OCCUPATIONAL MEDICINE

Preventive Medicine

(Preventive Medicine/Occupational Environmental Medicine)

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

COLORADO CENTER FOR REHABILITATION

Physical Therapist

205 S MAIN ST
SUITE C
LONGMONT, CO
ZIP 80501

(303) 702-1612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033496179, enumerated as an "individual" on November 03, 2011.

The provider is located at 205 S MAIN ST SUITE C LONGMONT, CO 80501 and the phone number is (303) 684-9525.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.