JUSTIN A EDGE ATC
NPI 1467173880
Specialist/Technologist - Athletic Trainer in Fond Du Lac, WI

NPI Status: Active since September 05, 2022

Contact Information

45 S NATIONAL AVE
FOND DU LAC, WI
ZIP 54935
Phone: (920) 923-8588

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JUSTIN EDGE

This page provides the complete NPI Profile along with additional information for Justin Edge, a provider established in Fond Du Lac, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1467173880 assigned on September 2022. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1467173880
Provider Name
JUSTIN A EDGE ATC
Gender
Male
Entity Type
Individual
Location Address
45 S NATIONAL AVE FOND DU LAC, WI 54935
Location Phone
(920) 923-8588
Mailing Address
407 HARRISON ST APT 14 NORTH FOND DU LAC, WI 54937
Mailing Phone
(608) 444-2911
Is Sole Proprietor?
Yes
Enumeration Date
09-05-2022
Last Update Date
09-05-2022
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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
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.
1467173880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127276816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 2 + 7 + 6 + 8 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1467173880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467173880, enumerated as an "individual" on September 05, 2022.

The provider is located at 45 S NATIONAL AVE FOND DU LAC, WI 54935 and the phone number is (920) 923-8588.

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