LAKESIDE ORTHOPEDIC INSTITUTE
NPI 1154780633
Specialist/Technologist - Athletic Trainer in Lake Havasu City, AZ

NPI Status: Active since February 12, 2016

Contact Information

25 RIVIERA BLVD
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 505-5555

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  • Organization
  • Specialist/Technologist
  • Athletic Trainer

About LAKESIDE ORTHOPEDIC INSTITUTE

This page provides the complete NPI Profile along with additional information for Lakeside Orthopedic Institute, a provider established in Lake Havasu City, Arizona operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1154780633 assigned on February 2016. The practitioner's primary taxonomy code is 2255A2300X with license number 1448 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. Lakeside Orthopedic Institute operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Lakeside Orthopedic Institute. The authorized official of this NPI record is Kristina Horton (Office Manager)

NPI
1154780633
Provider Legal Name
LAKESIDE PHYSICAL THERAPY, REHAB & SPORTS MEDICINE
Other Organization Name
LAKESIDE ORTHOPEDIC INSTITUTE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
25 RIVIERA BLVD LAKE HAVASU CITY, AZ 86403
Location Phone
(928) 505-5555
Mailing Address
1791 MESQUITE AVE LAKE HAVASU CITY, AZ 86403
Mailing Phone
(928) 855-4248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2016
Last Update Date
02-12-2016
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Location Map

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.
1448
License State
AZ
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

KRISTINA HORTON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(928) 855-4248

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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 1154780633, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 5 → 10 → 1 7 → 14 → 5 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 4 + 8 + 0 + 6 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1154780633.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Physical Medicine & Rehabilitation
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Physical Therapist
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Anesthesiology (Pain Medicine)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Clinic/Center (Radiology, Mobile)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Durable Medical Equipment & Medical Supplies
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Clinic/Center (Magnetic Resonance Imaging (MRI))
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154780633, enumerated as an "organization" on February 12, 2016.

The provider is located at 25 RIVIERA BLVD LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 505-5555.

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