LISA FAVREAU ATC
NPI 1497790836
Specialist/Technologist - Athletic Trainer in So Portland, ME

NPI Status: Active since June 19, 2006

Contact Information

100 FODEN RD
SUITE 103W
SO PORTLAND, ME
ZIP 04106
Phone: (207) 772-2625
Fax: (207) 879-4246

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About LISA FAVREAU

This page provides the complete NPI Profile along with additional information for Lisa Favreau, a provider established in So Portland, Maine with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1497790836 assigned on June 2006. The practitioner's primary taxonomy code is 2255A2300X with license number AT263 (ME). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1497790836
Provider Name
LISA FAVREAU ATC
Gender
Female
Entity Type
Individual
Location Address
100 FODEN RD SUITE 103W SO PORTLAND, ME 04106
Location Phone
(207) 772-2625
Location Fax
(207) 879-4246
Mailing Address
100 FODEN RD SUITE 103W SO PORTLAND, ME 04106
Mailing Phone
(207) 772-2625
Mailing Fax
(207) 879-4246
Is Sole Proprietor?
Yes
Enumeration Date
06-19-2006
Last Update Date
07-08-2007
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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.
AT263
License State
ME
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 1497790836, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 9 → 18 → 9 7 → 14 → 5 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 1 + 4 + 9 + 0 + 8 + 6 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1497790836.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
100 FODEN RD, SUITE 103W
SOUTH PORTLAND, ME 04106
Physical Therapist
100 FODEN RD, SUITE 103W
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
100 FODEN RD, SUITE 103 WEST
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
100 FODEN RD, SUITE 103W
SOUTH PORTLAND, ME 04106
Radiology (Diagnostic Radiology)
100 FODEN RD, SUITE 100
SOUTH PORTLAND, ME 04106
Phlebology
100 FODEN RD, SUITE 307 WEST
SOUTH PORTLAND, ME 04106
Orthopaedic Surgery (Sports Medicine)
100 FODEN RD, SUITE 307
SOUTH PORTLAND, ME 04106
Family Medicine
100 FODEN RD, SUITE 307 W
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 FODEN RD, SUITE 203
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
100 FODEN RD, SUITE 205
SOUTH PORTLAND, ME 04106
Clinic/Center (Physical Therapy)
100 FODEN RD, SUITE 200
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD, SUITE 103, WEST BUILDING
SOUTH PORTLAND, ME 04106
Psychologist (Clinical)
100 FODEN RD, #103
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Family)
100 FODEN RD, SUITE 203
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
100 FODEN RD
SOUTH PORTLAND, ME 04106
Specialist/Technologist (Athletic Trainer)
100 FODEN RD
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
100 FODEN RD
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Gerontology)
100 FODEN RD
SOUTH PORTLAND, ME 04106
Pediatrics (Sleep Medicine)
100 FODEN RD
SOUTH PORTLAND, ME 04106
Family Medicine
100 FODEN RD
SOUTH PORTLAND, ME 04106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497790836, enumerated as an "individual" on June 19, 2006.

The provider is located at 100 FODEN RD SUITE 103W SO PORTLAND, ME 04106 and the phone number is (207) 772-2625.

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