MICHEAL BLACK L.M.T.
NPI 1760511422
Massage Therapist in South Jordan, UT
NPI Status: Active since March 05, 2007
Contact Information
10358 S REDWOOD RD
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 253-3158
Fax: (801) 254-5739
- Individual
- Male
- Massage Therapist
- CLIA Number: 46D1065409
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-27-2027
About MICHEAL BLACK
This page provides the complete NPI Profile along with additional information for Micheal Black, a provider established in South Jordan, Utah with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1760511422 assigned on March 2007. The practitioner's primary taxonomy code is 225700000X with license number 261943-4701 (UT). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1760511422
- Provider Name
- MICHEAL BLACK L.M.T.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10358 S REDWOOD RD SOUTH JORDAN, UT 84095
- Location Phone
- (801) 253-3158
- Location Fax
- (801) 254-5739
- Mailing Address
- 10358 S REDWOOD RD SOUTH JORDAN, UT 84095
- Mailing Phone
- (801) 253-3158
- Mailing Fax
- (801) 254-5739
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-05-2007
- Last Update Date
- 07-08-2007
- 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
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 261943-4701
- License State
- UT
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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
- 46D1065409
- Facility Type
- Physician Office
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- MICHEAL T. SWINYARD, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Micheal Black 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 1760511422, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760511422, enumerated as an "individual" on March 05, 2007.
The provider is located at 10358 S REDWOOD RD SOUTH JORDAN, UT 84095 and the phone number is (801) 253-3158.
Massage Therapist with taxonomy code 225700000X.
