ROBERT MCNULTY LAT, ATC
NPI 1477926343
Specialist/Technologist - Athletic Trainer in Libertyville, IL
NPI Status: Active since November 02, 2015
Contact Information
1313 CRANE BLVD
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 421-4282
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
- CLIA Number: 14D0412570
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About ROBERT MCNULTY
This page provides the complete NPI Profile along with additional information for Robert Mcnulty, a provider established in Libertyville, Illinois with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1477926343 assigned on November 2015. The practitioner's primary taxonomy code is 2255A2300X with license number AT7035 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1477926343
- Provider Name
- ROBERT MCNULTY LAT, ATC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1313 CRANE BLVD LIBERTYVILLE, IL 60048
- Location Phone
- (847) 421-4282
- Mailing Address
- 1528 SHINING ARMOR LN WEST LAFAYETTE, IN 47906
- Mailing Phone
- (847) 421-4282
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-02-2015
- Last Update Date
- 07-27-2023
- 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.
- AT7035
- License State
- TX
- 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) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0412570
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- ROBERT L. BAKER MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Robert Mcnulty to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1477926343, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477926343, enumerated as an "individual" on November 02, 2015.
The provider is located at 1313 CRANE BLVD LIBERTYVILLE, IL 60048 and the phone number is (847) 421-4282.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
