JENNIFER LUDTKE ATC
NPI 1033528443
Specialist/Technologist - Athletic Trainer in Portland, OR

NPI Status: Active since August 11, 2014

Contact Information

5210 N KERBY AVE
PORTLAND, OR
ZIP 97217
Phone: (559) 707-1953

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About JENNIFER LUDTKE

This page provides the complete NPI Profile along with additional information for Jennifer Ludtke, a provider established in Portland, Oregon with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1033528443 assigned on August 2014. The practitioner's primary taxonomy code is 2255A2300X with license number 2000018517 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1033528443
Provider Name
JENNIFER LUDTKE ATC
Other Name
JENNI LUDTKE LAT, ATC
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
5210 N KERBY AVE PORTLAND, OR 97217
Location Phone
(559) 707-1953
Mailing Address
1739 NE 47TH AVE PORTLAND, OR 97213
Mailing Phone
(559) 707-1953
Is Sole Proprietor?
No
Enumeration Date
08-11-2014
Last Update Date
01-24-2022
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Location Map

Secondary Locations

  • 11361 SW Leveton Dr
    Tualatin, OR 97062
    (559) 707-1953

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.
2000018517
License State
CA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

AT-AT-10206431 (OR)

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.

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
AT-AT-10206431OTHER (01)ORSTATE LICENSURE

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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 1033528443, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 5 → 10 → 1 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 0 + 2 + 1 + 6 + 4 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1033528443.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
5210 N KERBY AVE, BASEMENT
PORTLAND, OR 97217
Speech-Language Pathologist
5210 N KERBY AVE
PORTLAND, OR 97217
Specialist/Technologist (Athletic Trainer)
5210 N KERBY AVE
PORTLAND, OR 97217
Clinic/Center (Federally Qualified Health Center (FQHC))
5210 N KERBY AVE
PORTLAND, OR 97217
Speech-Language Pathologist
5210 N KERBY AVE
PORTLAND, OR 97217
Counselor (School)
5210 N KERBY AVE
PORTLAND, OR 97217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033528443, enumerated as an "individual" on August 11, 2014.

The provider is located at 5210 N KERBY AVE PORTLAND, OR 97217 and the phone number is (559) 707-1953.

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

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