SOUTHERN ILLINOIS SPORTS MEDICINE
NPI 1699061259
Specialist/Technologist - Athletic Trainer in Belleville, IL
NPI Status: Active since June 22, 2011
Contact Information
4550 MEMORIAL DR
MOC-1, SUITE G-100
BELLEVILLE, IL
ZIP 62226
Phone: (618) 236-2246
Fax: (618) 236-2315
- Organization
- Specialist/Technologist
- Athletic Trainer
About SOUTHERN ILLINOIS SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Southern Illinois Sports Medicine, a provider established in Belleville, Illinois operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1699061259 assigned on June 2011. The practitioner's primary taxonomy code is 2255A2300X with license number 096002594 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Southern Illinois Sports Medicine. The authorized official of this NPI record is Jason Daniel Noeldner Atc,lat (Athletic Trainer)
- NPI
- 1699061259
- Provider Legal Name
- OA ASSOCIATED LLC
- Other Organization Name
- SOUTHERN ILLINOIS SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4550 MEMORIAL DR MOC-1, SUITE G-100 BELLEVILLE, IL 62226
- Location Phone
- (618) 236-2246
- Location Fax
- (618) 236-2315
- Mailing Address
- 4550 MEMORIAL DR MOC-1, SUITE G-100 BELLEVILLE, IL 62226
- Mailing Phone
- (618) 236-2246
- Mailing Fax
- (618) 236-2315
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2011
- Last Update Date
- 06-22-2011
- 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.
- 096002594
- License State
- IL
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 1699061259, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699061259, enumerated as an "organization" on June 22, 2011.
The provider is located at 4550 MEMORIAL DR MOC-1, SUITE G-100 BELLEVILLE, IL 62226 and the phone number is (618) 236-2246.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
