MICHELLE THERESE NOVAK ATC
NPI 1770096877
Specialist/Technologist - Athletic Trainer in Peoria, IL

NPI Status: Active since November 10, 2017

Contact Information

2338 W VAN WINKLE WAY STE 3300
PEORIA, IL
ZIP 61615
Phone: (309) 693-2020

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About MICHELLE NOVAK

This page provides the complete NPI Profile along with additional information for Michelle Novak, a provider established in Peoria, Illinois with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1770096877 assigned on November 2017. The practitioner's primary taxonomy code is 2255A2300X with license number 096003270 (IL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1770096877
Provider Name
MICHELLE THERESE NOVAK ATC
Gender
Female
Entity Type
Individual
Location Address
2338 W VAN WINKLE WAY STE 3300 PEORIA, IL 61615
Location Phone
(309) 693-2020
Mailing Address
1700 W HICKORY GROVE RD APT 4-203 DUNLAP, IL 61525
Mailing Phone
(309) 830-3250
Is Sole Proprietor?
No
Enumeration Date
11-10-2017
Last Update Date
11-10-2017
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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.
096003270
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.

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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.
1770096877
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271400912814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 0 + 9 + 1 + 2 + 8 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1770096877 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

MRS. CINDY PETTIT DNP, FNP-BC

Nurse Practitioner

(Family)

2338 W VAN WINKLE WAY STE 3300
PEORIA, IL
ZIP 61615

(309) 693-2020

AMY M DAVIS APN FNP-C

Nurse Practitioner

(Family)

2338 W VAN WINKLE WAY STE 3300
PEORIA, IL
ZIP 61615

(309) 693-2020

MRS. JEANNA M ROSS APN

Nurse Practitioner

(Adult Health)

2338 W VAN WINKLE WAY STE 3300
PEORIA, IL
ZIP 61615

(309) 693-2020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770096877, enumerated as an "individual" on November 10, 2017.

The provider is located at 2338 W VAN WINKLE WAY STE 3300 PEORIA, IL 61615 and the phone number is (309) 693-2020.

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