MARY E DERCK ATC
NPI 1104955889
Specialist/Technologist - Athletic Trainer in Toledo, OH

NPI Status: Active since March 05, 2007

Contact Information

2865 N REYNOLDS RD
STE. 110
TOLEDO, OH
ZIP 43615
Phone: (419) 578-7530

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About MARY DERCK

This page provides the complete NPI Profile along with additional information for Mary Derck, a provider established in Toledo, Ohio with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1104955889 assigned on March 2007. The practitioner's primary taxonomy code is 2255A2300X with license number AT.002401 (OH). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1104955889
Provider Name
MARY E DERCK ATC
Gender
Female
Entity Type
Individual
Location Address
2865 N REYNOLDS RD STE. 110 TOLEDO, OH 43615
Location Phone
(419) 578-7530
Mailing Address
6602 DORR ST APT 202 TOLEDO, OH 43615
Mailing Phone
(419) 578-7530
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
03-05-2007
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.
AT.002401
License State
OH
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 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 1104955889, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 0 → 0 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 8 + 5 + 1 + 0 + 8 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104955889.

Other Providers at the Same Location


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

Plastic Surgery
2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615
Plastic Surgery
2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615
Ophthalmology
2865 N REYNOLDS RD, SUITE 170
TOLEDO, OH 43615
Ophthalmology
2865 N REYNOLDS RD, SUITE 170
TOLEDO, OH 43615
Ophthalmology
2865 N REYNOLDS RD, SUITE 170
TOLEDO, OH 43615
Ophthalmology
2865 N REYNOLDS RD, SUITE 170
TOLEDO, OH 43615
Audiologist
2865 N REYNOLDS RD, 120
TOLEDO, OH 43615
Physical Therapist
2865 N REYNOLDS RD
TOLEDO, OH 43615
Clinical Nurse Specialist (Medical-Surgical)
2865 N REYNOLDS RD
TOLEDO, OH 43615
Plastic Surgery
2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615
Specialist/Technologist (Athletic Trainer)
2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615
Specialist/Technologist (Athletic Trainer)
2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615
Family Medicine (Sports Medicine)
2865 N REYNOLDS RD, SUITE 130
TOLEDO, OH 43615
Physical Therapist
2865 N REYNOLDS RD
TOLEDO, OH 43615
Ophthalmology
2865 N REYNOLDS RD, SUITE 170
TOLEDO, OH 43615
Ophthalmology
2865 N REYNOLDS RD, SUITE 170
TOLEDO, OH 43615
Occupational Therapist (Hand)
2865 N REYNOLDS RD
TOLEDO, OH 43615
Physical Therapist
2865 N REYNOLDS RD, BLDG A
TOLEDO, OH 43615
Orthopaedic Surgery
2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615
Nurse Practitioner
2865 N REYNOLDS RD, SUITE 130
TOLEDO, OH 43615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104955889, enumerated as an "individual" on March 05, 2007.

The provider is located at 2865 N REYNOLDS RD STE. 110 TOLEDO, OH 43615 and the phone number is (419) 578-7530.

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