MR. KEITH J GARDNER A.T.C.
NPI 1336364124
Specialist/Technologist - Athletic Trainer in Roswell, NM

NPI Status: Active since April 16, 2007

Contact Information

113 E COLLEGE BLVD
ROSWELL, NM
ZIP 88201
Phone: (575) 622-6500
Fax: (575) 622-9777

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About KEITH GARDNER

This page provides the complete NPI Profile along with additional information for Keith Gardner, a provider established in Roswell, New Mexico with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1336364124 assigned on April 2007. The practitioner's primary taxonomy code is 2255A2300X with license number 72 (NM). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1336364124
Provider Name
MR. KEITH J GARDNER A.T.C.
Gender
Male
Entity Type
Individual
Location Address
113 E COLLEGE BLVD ROSWELL, NM 88201
Location Phone
(575) 622-6500
Location Fax
(575) 622-9777
Mailing Address
113 E COLLEGE BLVD ROSWELL, NM 88201
Mailing Phone
(575) 622-6500
Mailing Fax
(575) 622-9777
Is Sole Proprietor?
No
Enumeration Date
04-16-2007
Last Update Date
10-15-2008
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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 No.
72
License State
NM
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 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 1336364124, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 6 + 6 + 8 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1336364124.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physical Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201
Massage Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201
Specialist/Technologist (Athletic Trainer)
113 E COLLEGE BLVD
ROSWELL, NM 88201
Specialist/Technologist (Athletic Trainer)
113 E COLLEGE BLVD
ROSWELL, NM 88201
Specialist/Technologist (Athletic Trainer)
113 E COLLEGE BLVD
ROSWELL, NM 88201
Specialist/Technologist (Athletic Trainer)
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapy Assistant
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapy Assistant
113 E COLLEGE BLVD
ROSWELL, NM 88201
Physical Therapist
113 E COLLEGE BLVD
ROSWELL, NM 88201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336364124, enumerated as an "individual" on April 16, 2007.

The provider is located at 113 E COLLEGE BLVD ROSWELL, NM 88201 and the phone number is (575) 622-6500.

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