JAMES R BEVERSDORF LAT, CSCS, PES
NPI 1073508743
Specialist/Technologist - Athletic Trainer in Green Bay, WI

NPI Status: Active since September 19, 2005

Contact Information

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 430-4750

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JAMES BEVERSDORF

This page provides the complete NPI Profile along with additional information for James Beversdorf, a provider established in Green Bay, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1073508743 assigned on September 2005. The practitioner's primary taxonomy code is 2255A2300X with license number 24-039 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1073508743
Provider Name
JAMES R BEVERSDORF LAT, CSCS, PES
Gender
Male
Entity Type
Individual
Location Address
215 N WEBSTER AVE GREEN BAY, WI 54301
Location Phone
(920) 430-4750
Mailing Address
1330 PACKERLAND DR APT. B-3 GREEN BAY, WI 54304
Mailing Phone
(920) 405-0872
Is Sole Proprietor?
No
Enumeration Date
09-19-2005
Last Update Date
07-08-2007
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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.
24-039
License State
WI
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.
1073508743
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431001678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 0 + 0 + 1 + 6 + 7 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1073508743 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

ROLAND JOSEPH SCHMIDT LAT/ATC

Specialist/Technologist

(Athletic Trainer)

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 433-3638

LORI ANN LAMERS PT0

Physical Therapist

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 433-3638

MICHELLE M RENTMEESTER OT

Occupational Therapist

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 433-3638

BELLIN MEMORIAL HOSPITAL

General Practice

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 433-4558

ROBERT PAUL NEUSTIFTER PTA

Physical Therapy Assistant

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 431-5588

LINDA K WATKINS PTA

Physical Therapy Assistant

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 433-7868

DAVID ALLEN GROOP PT

Physical Therapist

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 433-3638

SCOTT WADE OLENICZAK

Occupational Therapist

215 N WEBSTER AVE
GREEN BAY, WI
ZIP 54301

(920) 431-5588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073508743, enumerated as an "individual" on September 19, 2005.

The provider is located at 215 N WEBSTER AVE GREEN BAY, WI 54301 and the phone number is (920) 430-4750.

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