RENEE L POLUBINSKY ATC, CSCS
NPI 1134193691
Specialist/Technologist - Athletic Trainer in Macomb, IL

NPI Status: Active since February 13, 2006

Contact Information

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455
Phone: (309) 298-2050
Fax: (309) 298-2981

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About RENEE POLUBINSKY

This page provides the complete NPI Profile along with additional information for Renee Polubinsky, a provider established in Macomb, Illinois with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1134193691 assigned on February 2006. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1134193691
Provider Name
RENEE L POLUBINSKY ATC, CSCS
Gender
Female
Entity Type
Individual
Location Address
1 UNIVERSITY CIR MACOMB, IL 61455
Location Phone
(309) 298-2050
Location Fax
(309) 298-2981
Mailing Address
30 SHOREWOOD DR MACOMB, IL 61455
Mailing Phone
(309) 298-2050
Mailing Fax
(309) 298-2981
Is Sole Proprietor?
Yes
Enumeration Date
02-13-2006
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 State
IL
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.

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
1134193691MEDICARE UPIN (02)IL 

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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.
1134193691
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164296618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 9 + 6 + 6 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1134193691 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

JESSICA LABER A.T.C./L

Specialist

1 UNIVERSITY CIR
113 WESTERN HALL
MACOMB, IL
ZIP 61455

(309) 298-1253

MISS ELIZABETH JANE MORRIS ATHLETIC TRAINER

Legal Medicine

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1253

MR. ROBERT ERIC WALLACE APN

Nurse Practitioner

(Family)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1888

DEBORAH SHAW CONNER APN

Nurse Practitioner

(Women's Health)

1 UNIVERSITY CIR
BEU HEALTH CENTER
MACOMB, IL
ZIP 61455

(309) 298-1888

BONNIE JEAN BARTLETT APN

Nurse Practitioner

(Pediatrics)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1888

BEU HEALTH CENTER PHARMACY

Pharmacy

(Clinic Pharmacy)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1888

MOLLY LYNN ANDERSON

Specialist/Technologist

(Athletic Trainer)

1 UNIVERSITY CIR
WESTERN ILLINOIS UNIVERSITY
MACOMB, IL
ZIP 61455

(309) 298-2135

BEU HEALTH CENTER

Clinic/Center

(Student Health)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1888

MR. STEVEN M KOCH ATC

Specialist/Technologist

(Athletic Trainer)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-2340

WESTERN ILLINOIS UNIVERSITY

Community/Behavioral Health

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1888

WESTERN ILLINOIS UNIVERSITY SPEECH LANGUAGE HEARING CLINIC

Audiologist-Hearing Aid Fitter

1 UNIVERSITY CIR
125 CURRENS HALL
MACOMB, IL
ZIP 61455

(309) 298-1955

MS. LEAH ANN SHAPIRO

Developmental Therapist

1 UNIVERSITY CIR
CENTER FOR BEST PRACTICES, WESTERN ILLINOIS UNIVERSITY
MACOMB, IL
ZIP 61455

(800) 701-0095

KATHLEEN KENNEY LCSW, CADC

Social Worker

(Clinical)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(630) 483-7071

MR. CHAD C CERULLO MS, LAT, ATC

Specialist/Technologist

(Athletic Trainer)

1 UNIVERSITY CIR
WESTERN HALL
MACOMB, IL
ZIP 61455

(309) 313-4775

ROSALYN BORDEN KALANTARI APN

Nurse Practitioner

(Women's Health)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1888

TANNER MAKSYMICZ

Specialist/Technologist

(Athletic Trainer)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(765) 891-0503

OMAHA VAMC

Clinic/Center

(VA)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(913) 578-4409

SABREEN DASSA

Developmental Therapist

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-3066

CHARNELLE NICOLE BRINKER

Speech-Language Pathologist

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(575) 799-8657

JENNIFER M PLOS ATC

Specialist/Technologist

(Athletic Trainer)

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455

(309) 298-1506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134193691, enumerated as an "individual" on February 13, 2006.

The provider is located at 1 UNIVERSITY CIR MACOMB, IL 61455 and the phone number is (309) 298-2050.

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.