MR. MATTHEW HUDERLE ATC
NPI 1114463775
Specialist/Technologist - Athletic Trainer in Duluth, MN

NPI Status: Active since January 06, 2017

Contact Information

1000 E 1ST ST STE 400
DULUTH, MN
ZIP 55805
Phone: (218) 722-5513

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About MATTHEW HUDERLE

This page provides the complete NPI Profile along with additional information for Matthew Huderle, a provider established in Duluth, Minnesota with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1114463775 assigned on January 2017. The practitioner's primary taxonomy code is 2255A2300X with license number 3128 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1114463775
Provider Name
MR. MATTHEW HUDERLE ATC
Gender
Male
Entity Type
Individual
Location Address
1000 E 1ST ST STE 400 DULUTH, MN 55805
Location Phone
(218) 722-5513
Mailing Address
1000 E 1ST ST STE 400 DULUTH, MN 55805
Mailing Phone
(218) 722-5513
Is Sole Proprietor?
No
Enumeration Date
01-06-2017
Last Update Date
05-02-2019
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Location Map

Secondary Locations

  • 4949 Harlem Rd
    Amherst, NY 14226
    (716) 204-3240

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.
3128
License State
MN
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.
1114463775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124866714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 6 + 6 + 7 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1114463775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

MRS. EMILY HOLTER DPT

Physical Therapist

1000 E 1ST ST STE 400
DULUTH, MN
ZIP 55805

(218) 722-5513

MR. ADAM TANNER HERMES PA-C

Physician Assistant

(Surgical)

1000 E 1ST ST STE 400
DULUTH, MN
ZIP 55805

(218) 722-5513

SHEILA WATSON O.T.R./L.

Occupational Therapist

1000 E 1ST ST STE 400
DULUTH, MN
ZIP 55805

(218) 722-5513

HEATHER GROTHE MD

Family Medicine

(Sports Medicine)

1000 E 1ST ST STE 400
DULUTH, MN
ZIP 55805

(218) 722-5513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114463775, enumerated as an "individual" on January 06, 2017.

The provider is located at 1000 E 1ST ST STE 400 DULUTH, MN 55805 and the phone number is (218) 722-5513.

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