MR. PETER O'FALLON JR. ATC/LAT
NPI 1104200179
Specialist/Technologist - Athletic Trainer in Destin, FL
NPI Status: Active since July 19, 2015
Contact Information
4421 COMMONS DR E
SUITE-B 108
DESTIN, FL
ZIP 32541
Phone: (850) 460-2588
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About PETER O'FALLON
This page provides the complete NPI Profile along with additional information for Peter O'fallon, a provider established in Destin, Florida with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1104200179 assigned on July 2015. The practitioner's primary taxonomy code is 2255A2300X with license number AL 4145 (FL). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1104200179
- Provider Name
- MR. PETER O'FALLON JR. ATC/LAT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4421 COMMONS DR E SUITE-B 108 DESTIN, FL 32541
- Location Phone
- (850) 460-2588
- Mailing Address
- 93 DUNE LAKES CIR B106 SANTA ROSA BEACH, FL 32459
- Mailing Phone
- (314) 952-7123
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-19-2015
- Last Update Date
- 07-19-2015
- 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.
- AL 4145
- License State
- FL
- 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. | |||||||||
| 1 | 1 | 0 | 4 | 2 | 0 | 0 | 1 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 4 | 0 | 0 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 4 + 0 + 0 + 1 + 1 + 4 + 24 = 41 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 41 = 9 | 9 | ||||||||
The NPI number 1104200179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306913884 | DR. TIMOTHY DEEGAN DOUGLASS D.C. Individual | Chiropractor | 4421 COMMONS DR E SUITE B-105 DESTIN, FL 32541 (850) 650-6789 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104200179, enumerated in the NPI registry as an "individual" on July 19, 2015
The provider is located at 4421 Commons Dr E Suite-b 108 Destin, Fl 32541 and the phone number is (850) 460-2588
The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer
This NPI record was last updated on July 19, 2015. 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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