GARY DAVID PREMO ATC
NPI 1710113105
Specialist/Technologist - Athletic Trainer in Waupaca, WI

NPI Status: Active since May 31, 2009

Contact Information

800 RIVERSIDE DR
WAUPACA, WI
ZIP 54981
Phone: (715) 258-1053

NPI Profile Information
Primary Taxonomy
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Specialist/Technologist
Athletic Trainer

About GARY PREMO

This page provides the complete NPI Profile along with additional information for Gary Premo, a provider established in Waupaca, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1710113105 assigned on May 2009. The practitioner's primary taxonomy code is 2255A2300X with license number 979-039 (WI). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI: 1710113105
Provider Name: GARY DAVID PREMO ATC
Gender: Male
Entity Type: Individual
Location Address: 800 RIVERSIDE DR WAUPACA, WI 54981
Location Phone: (715) 258-1053
Mailing Address: 208 W WISCONSIN ST WEYAUWEGA, WI 54983
Mailing Phone: (715) 570-5889
Is Sole Proprietor?: No
Enumeration Date: 05-31-2009
Last Update Date: 05-31-2009
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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.: 979-039
License State: WI
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.

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 1710113105, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

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 1 → 2 1 → 2 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 2 + 1 + 6 + 1 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1710113105.