CARLY J WILSON MS, LAT, ATC
NPI 1205326642
Specialist/Technologist - Athletic Trainer in Boise, ID

NPI Status: Active since May 10, 2018

Contact Information

1109 W MYRTLE ST STE 200
BOISE, ID
ZIP 83702
Phone: (208) 489-4300

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About CARLY WILSON

This page provides the complete NPI Profile along with additional information for Carly Wilson, a provider established in Boise, Idaho with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1205326642 assigned on May 2018. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1205326642
Provider Name
CARLY J WILSON MS, LAT, ATC
Gender
Female
Entity Type
Individual
Location Address
1109 W MYRTLE ST STE 200 BOISE, ID 83702
Location Phone
(208) 489-4300
Mailing Address
1051 SOUTHERN DR UNIT 2108 COLUMBIA, SC 29201
Is Sole Proprietor?
No
Enumeration Date
05-10-2018
Last Update Date
09-09-2021
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Location Map

Secondary Locations

  • Blatt Pe Center - Exercise Science 1300 Wheat Street
    Columbia, SC 29208
    (803) 777-0636
  • 2000 Observatory Dr
    Madison, WI 53706
    (608) 262-3742

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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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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 1205326642, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 3 → 6 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 6 + 2 + 1 + 2 + 6 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205326642.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
1109 W MYRTLE ST STE 200
BOISE, ID 83702
Counselor (Professional)
1109 W MYRTLE ST STE 200
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205326642, enumerated as an "individual" on May 10, 2018.

The provider is located at 1109 W MYRTLE ST STE 200 BOISE, ID 83702 and the phone number is (208) 489-4300.

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