MS. REBECCA ANNE WILDERMUTH MS ATC CSCS
NPI 1013050046
Specialist/Technologist - Athletic Trainer in Gibson City, IL

NPI Status: Active since February 15, 2007

Contact Information

10 DOCTORS PARK
GIBSON CITY, IL
ZIP 60936
Phone: (217) 784-2650
Fax: (217) 784-8023

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About REBECCA WILDERMUTH

This page provides the complete NPI Profile along with additional information for Rebecca Wildermuth, a provider established in Gibson City, Illinois with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1013050046 assigned on February 2007. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1013050046
Provider Name
MS. REBECCA ANNE WILDERMUTH MS ATC CSCS
Gender
Female
Entity Type
Individual
Location Address
10 DOCTORS PARK GIBSON CITY, IL 60936
Location Phone
(217) 784-2650
Location Fax
(217) 784-8023
Mailing Address
301 E WILLOW ST NORMAL, IL 61761
Mailing Phone
(309) 862-1786
Is Sole Proprietor?
No
Enumeration Date
02-15-2007
Last Update Date
07-08-2007
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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 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.
1013050046
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202305008
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 5 + 0 + 0 + 8 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1013050046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780675660MR. CHAD ERIC VAUGHN ATC
Individual
Specialist/Technologist (Athletic Trainer)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1740262344MR. KENNETH E MEISNER ATC
Individual
Specialist/Technologist (Athletic Trainer)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1699805481MR. MARCO S BOSCOLO ATC
Individual
Specialist/Technologist (Athletic Trainer)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1629293451MS. THERESE ROSE FREEHILL-DAVIS PT
Individual
Physical Therapist10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1245457753 JANA LEIGH RICHMOND PTA
Individual
Physical Therapy Assistant10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1275750945 LAURA ELIZABETH HENDRICK MSP, CF-SLP
Individual
Speech-Language Pathologist10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1487873956MRS. ELIZABETH FRERICHS OTR
Individual
Occupational Therapist10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1104008333 TYLER BRUCKER A.T.C.
Individual
Specialist/Technologist (Athletic Trainer)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 781-2560
1285982249GIBSON AREA HOSPITAL
Organization
General Acute Care Hospital (Rural)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1154679108GIBSON AREA HOSPITAL THERAPY SERVICES
Organization
General Acute Care Hospital (Rural)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1558724310 CARRIE KIRBY FNP-C
Individual
Nurse Practitioner (Family)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2273
1801313077 ERIN J. MILLER
Individual
Physician Assistant10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-4340
1669403077 CHRISTOPHER DANGLES M.D.
Individual
Orthopaedic Surgery10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-4340
1134894017 LISA WILLARD DPT
Individual
Physical Therapist10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2650
1801439161 KACY MARIE STANDIFORD PA-C
Individual
Orthopaedic Surgery (Sports Medicine)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-4340
1134368129DR. JEFFREY A LOWE D.O.
Individual
Orthopaedic Surgery10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2340
1770953150 JOSEPH A EMMERICH PA-C
Individual
Physician Assistant10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-4340
1134540750GIBSON COMMUNITY HOSPITAL ASSOCIATION
Organization
Internal Medicine (Cardiovascular Disease)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-2384
1578799797GIBSON COMMUNITY HOSPITAL ASSOCIATION
Organization
Specialist10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-4340
1093448011GIBSON COMMUNITY HOSPITAL ASSOCIATION
Organization
Family Medicine (Addiction Medicine)10 DOCTORS PARK
GIBSON CITY, IL 60936
(217) 784-4251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013050046, enumerated in the NPI registry as an "individual" on February 15, 2007

The provider is located at 10 Doctors Park Gibson City, Il 60936 and the phone number is (217) 784-2650

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on February 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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