SPORTS MEDICINE SPECIALISTS - BOUNTIFUL
NPI 1114057924
Physical Medicine & Rehabilitation - Sports Medicine in Bountiful, UT

NPI Status: Active since March 07, 2007

Contact Information

280 N MAIN ST
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 298-2495

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  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About SPORTS MEDICINE SPECIALISTS - BOUNTIFUL

This page provides the complete NPI Profile along with additional information for Sports Medicine Specialists - Bountiful, a provider established in Bountiful, Utah operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1114057924 assigned on March 2007. The practitioner's primary taxonomy code is 2081S0010X with license number 2006-32348 (UT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Sports Medicine Specialists - Bountiful. The authorized official of this NPI record is Dr. Linda C Leckman Md (Ceo Intermountain Medical Group)

NPI
1114057924
Provider Legal Name
IHC HEALTH SERVICES INC
Other Organization Name
SPORTS MEDICINE SPECIALISTS - BOUNTIFUL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
280 N MAIN ST BOUNTIFUL, UT 84010
Location Phone
(801) 298-2495
Mailing Address
PO BOX 27128 SALT LAKE CITY, UT 84127
Mailing Phone
(801) 990-6286
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2007
Last Update Date
08-27-2009
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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

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
License No.
2006-32348
License State
UT
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LINDA C LECKMAN MD

Authorized Official Title
CEO INTERMOUNTAIN MEDICAL GROUP
Authorized Official Phone
(801) 442-3974

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
000055456MEDICARE PIN (08) 

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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 1114057924, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
4
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 1 → 2 0 → 0 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 0 + 5 + 1 + 4 + 9 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114057924.

Other Providers at the Same Location


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

Family Medicine (Sports Medicine)
280 N MAIN ST
BOUNTIFUL, UT 84010
Occupational Therapist
280 N MAIN ST
BOUNTIFUL, UT 84010
Emergency Medicine
280 N MAIN ST
BOUNTIFUL, UT 84010
Emergency Medicine
280 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
280 N MAIN ST
BOUNTIFUL, UT 84010
Occupational Therapist
280 N MAIN ST
BOUNTIFUL, UT 84010
Speech-Language Pathologist
280 N MAIN ST
BOUNTIFUL, UT 84010
Physical Therapist
280 N MAIN ST, ATTN. ADULT PHYSICAL THERAPY
BOUNTIFUL, UT 84010
Speech-Language Pathologist
280 N MAIN ST
BOUNTIFUL, UT 84010
Physical Therapist
280 N MAIN ST
BOUNTIFUL, UT 84010
Occupational Therapist
280 N MAIN ST, 2ND FLOOR
BOUNTIFUL, UT 84010
Pediatrics
280 N MAIN ST
BOUNTIFUL, UT 84010
Speech-Language Pathologist
280 N MAIN ST
BOUNTIFUL, UT 84010
Occupational Therapist (Pediatrics)
280 N MAIN ST, SECOND FLOOR
BOUNTIFUL, UT 84010
Speech-Language Pathologist
280 N MAIN ST, 2ND FLOOR
BOUNTIFUL, UT 84010
Specialist
280 N MAIN ST
BOUNTIFUL, UT 84010
Occupational Therapist
280 N MAIN ST, # 2
BOUNTIFUL, UT 84010
Specialist/Technologist (Athletic Trainer)
280 N MAIN ST
BOUNTIFUL, UT 84010
Audiologist
280 N MAIN ST, 2ND FLOOR
BOUNTIFUL, UT 84010
Physical Therapist
280 N MAIN ST
BOUNTIFUL, UT 84010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114057924, enumerated as an "organization" on March 07, 2007.

The provider is located at 280 N MAIN ST BOUNTIFUL, UT 84010 and the phone number is (801) 298-2495.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.

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