THEODORE VANDERMEUSE ATC/LAT
NPI 1326456245
Specialist/Technologist - Athletic Trainer in Portage, WI

NPI Status: Active since July 23, 2014

Contact Information

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901
Phone: (608) 745-6290

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About THEODORE VANDERMEUSE

This page provides the complete NPI Profile along with additional information for Theodore Vandermeuse, a provider established in Portage, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1326456245 assigned on July 2014. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1326456245
Provider Name
THEODORE VANDERMEUSE ATC/LAT
Gender
Male
Entity Type
Individual
Location Address
2817 NEW PINERY RD PORTAGE, WI 53901
Location Phone
(608) 745-6290
Mailing Address
2817 NEW PINERY RD PORTAGE, WI 53901
Mailing Phone
(608) 745-6290
Is Sole Proprietor?
No
Enumeration Date
07-23-2014
Last Update Date
07-23-2014
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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
WI
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.
1326456245
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346851228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 8 + 5 + 1 + 2 + 2 + 8 + 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 1326456245 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 20 providers are registered at the same or nearby location.

JAMES T GARITI SR. MD

Emergency Medicine

2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI
ZIP 53901

(608) 742-4131

BRENDA A BLOHM MD

Family Medicine

2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI
ZIP 53901

(608) 745-4598

GREGORY S KEELING MD

Emergency Medicine

2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI
ZIP 53901

(608) 742-4131

CYNTHIA A WALTERS PA-C

Physician Assistant

2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI
ZIP 53901

(608) 742-4131

FREDERICK W ROCHACEWICZ PAC

Physician Assistant

2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI
ZIP 53901

(608) 745-4598

THOMAS V JACKSON MD

Emergency Medicine

2817 NEW PINERY RD
DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI
ZIP 53901

(608) 742-4131

DR. STEPHEN C. MURPHY D.P.M.

Podiatrist

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901

(608) 742-4131

KEVIN M RAK MD

Radiology

(Diagnostic Radiology)

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901

(608) 742-4131

MR. WILLIAM S. ROGERS CRNA

Nurse Anesthetist, Certified Registered

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901

(608) 742-4131

MRS. SUE LYN CONDON P.T.

Physical Therapist

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6211

DR. TANYA LYNNE SCHIMEK DPT

Physical Therapist

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6290

MR. DAVID LEE VORPAHL OTR

Occupational Therapist

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6290

MR. JASON SCOTT CERKONEY LAT

Specialist/Technologist

(Athletic Trainer)

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6290

MS. MARY MARGARET LEISING OTR

Specialist

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901

(608) 745-5063

MRS. MELISSA ANN ALBRECHT DPT

Physical Therapist

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901

(608) 745-6290

JENNIFER L MILLHOLLAND M.S.,CCC/SLP

Speech-Language Pathologist

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6290

KATHLEEN M O'REILLY P.T.

Physical Therapist

2817 NEW PINERY RD
PORTAGE, WI
ZIP 53901

(608) 745-6290

LYNNE GIACOMINO DUGOLENSKI M.A.,CCC/SLP

Speech-Language Pathologist

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6290

MRS. BONNIE SUE STANISLAWSKI AU. D.

Audiologist-Hearing Aid Fitter

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6290

MRS. CHRISTINA MARIE SMTIH PTA

Physical Therapy Assistant

2817 NEW PINERY RD
SUITE 103
PORTAGE, WI
ZIP 53901

(608) 745-6290

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326456245, enumerated as an "individual" on July 23, 2014.

The provider is located at 2817 NEW PINERY RD PORTAGE, WI 53901 and the phone number is (608) 745-6290.

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