JAE HWAN SONG ATC
NPI 1265823421
Specialist/Technologist - Athletic Trainer in Daytona Beach, FL
NPI Status: Active since February 10, 2015
Contact Information
640 DR MARY MCLEOD BETHUNE BLVD
HANDFILED ATHLETIC TRAINING CENTER
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 481-2261
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About JAE HWAN SONG
This page provides the complete NPI Profile along with additional information for Jae Hwan Song, a provider established in Daytona Beach, Florida with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1265823421 assigned on February 2015. The practitioner's primary taxonomy code is 2255A2300X with license number AL3738 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1265823421
- Provider Name
- JAE HWAN SONG ATC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 640 DR MARY MCLEOD BETHUNE BLVD HANDFILED ATHLETIC TRAINING CENTER DAYTONA BEACH, FL 32114
- Location Phone
- (386) 481-2261
- Mailing Address
- 1400 HANCOCK BLVD APT 1312 DAYTONA BEACH, FL 32114
- Mailing Phone
- (619) 886-6597
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-10-2015
- Last Update Date
- 02-10-2015
- Code Navigator
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.
- AL3738
- License State
- FL
- 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. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 2 | 3 | 4 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 2 | 6 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 2 + 6 + 4 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1265823421 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.
MR. BRIAN WILLIAM JANSEN ATC, LAT
Specialist
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
LANI ELLEN LUERS ATC
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
BETHUNE-COOKMAN UNIVERSITY
Orthopaedic Surgery
(Sports Medicine)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
ITSUKO YAMAGUCHI M.S., ATC, LAT
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
MR. NEVILLE WILLIBE SPURGEON JR. MS, ATC, LAT
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
MATTHEW LUERS A.T.,C.
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
MR. STEPHONE DELANO DEVANTE BAKER
Kinesiotherapist
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
BRIA JONES
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
TAMERA ALEXIS DEMPS
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
ZUMONDRAE NEWSOME
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
NIKKITA NOZISTEL
Student in an Organized Health Care Education/Training Program
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
KASIIM SHAKIR BARR
Psychologist
(Counseling)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
GIA KIRK
Behavior Technician
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
TAYLOR DANIELLE GUYTON
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
RILEY RIVERS STUDENT
Student in an Organized Health Care Education/Training Program
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
AMBER KINNEY
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
ANDREA PADILLA
Student in an Organized Health Care Education/Training Program
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
LATYA HURT
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
KAITLYN E WALKER
Specialist/Technologist
(Athletic Trainer)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
SABINE WORTHOFF APRN
Nurse Practitioner
(Family)
640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL
ZIP 32114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265823421, enumerated as an "individual" on February 10, 2015.
The provider is located at 640 DR MARY MCLEOD BETHUNE BLVD HANDFILED ATHLETIC TRAINING CENTER DAYTONA BEACH, FL 32114 and the phone number is (386) 481-2261.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
