LEAH RENEE KOMISAK
NPI 1508481110
Specialist/Technologist - Athletic Trainer in Nellis Afb, NV

NPI Status: Active since June 09, 2020

Contact Information

4269 TYNDALL AVE BLDG 282
NELLIS AFB, NV
ZIP 89191
Phone: (810) 358-3817

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About LEAH KOMISAK

This page provides the complete NPI Profile along with additional information for Leah Komisak, a provider established in Nellis Afb, Nevada with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1508481110 assigned on June 2020. The practitioner's primary taxonomy code is 2255A2300X with license number AT0506770 (NV). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1508481110
Provider Name
LEAH RENEE KOMISAK
Gender
Female
Entity Type
Individual
Location Address
4269 TYNDALL AVE BLDG 282 NELLIS AFB, NV 89191
Location Phone
(810) 358-3817
Mailing Address
4269 TYNDALL AVE BLDG 282 NELLIS AFB, NV 89191
Mailing Phone
(810) 358-3817
Is Sole Proprietor?
No
Enumeration Date
06-09-2020
Last Update Date
09-16-2024
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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.
AT0506770
License State
NV
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)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

AT-352 (HI)
22255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

1457 (NH)

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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.
1508481110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
250888212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 8 + 8 + 2 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508481110 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 1508481110, enumerated as an "individual" on June 09, 2020.

The provider is located at 4269 TYNDALL AVE BLDG 282 NELLIS AFB, NV 89191 and the phone number is (810) 358-3817.

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