MARY E DERCK ATC
NPI 1104955889
Specialist/Technologist - Athletic Trainer in Toledo, OH

NPI Status: Active since March 05, 2007

Contact Information

2865 N REYNOLDS RD
STE. 110
TOLEDO, OH
ZIP 43615
Phone: (419) 578-7530

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About MARY DERCK

This page provides the complete NPI Profile along with additional information for Mary Derck, a provider established in Toledo, Ohio with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1104955889 assigned on March 2007. The practitioner's primary taxonomy code is 2255A2300X with license number AT.002401 (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1104955889
Provider Name
MARY E DERCK ATC
Gender
Female
Entity Type
Individual
Location Address
2865 N REYNOLDS RD STE. 110 TOLEDO, OH 43615
Location Phone
(419) 578-7530
Mailing Address
6602 DORR ST APT 202 TOLEDO, OH 43615
Mailing Phone
(419) 578-7530
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
03-05-2007
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 No.
AT.002401
License State
OH
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.
1104955889
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210418510816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 5 + 1 + 0 + 8 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1104955889 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932108271DR. CRAIG W COLVILLE M.D.
Individual
Plastic Surgery2865 N REYNOLDS RD STE 250
TOLEDO, OH 43615
(419) 534-6551
1811996150DR. JOHN F ZAVELL M.D.
Individual
Plastic Surgery2865 N REYNOLDS RD STE 250
TOLEDO, OH 43615
(419) 534-6551
1932171246DR. KATHLEEN K KAROL M.D.
Individual
Ophthalmology2865 N REYNOLDS RD SUITE 170
TOLEDO, OH 43615
(419) 578-2020
1891767034DR. RICHARD T TORCHIA M.D.
Individual
Ophthalmology2865 N REYNOLDS RD SUITE 170
TOLEDO, OH 43615
(419) 578-2020
1760454086DR. JASON OFORI M.D.
Individual
Ophthalmology2865 N REYNOLDS RD SUITE 170
TOLEDO, OH 43615
(419) 578-2020
1780656926DR. ROBERT GLEN NEVILLE M.D.
Individual
Ophthalmology2865 N REYNOLDS RD SUITE 170
TOLEDO, OH 43615
(419) 578-2020
1104887991 JOHN R SCHUNEMAN M.A.,CCC-A
Individual
Audiologist2865 N REYNOLDS RD 120
TOLEDO, OH 43615
(419) 578-7557
1528008398 JASON P SONCRANT PT, SCS, CSCS
Individual
Physical Therapist2865 N REYNOLDS RD
TOLEDO, OH 43615
(419) 578-7530
1437242120MRS. CYNDE MATTIN R.N.F.A.
Individual
Clinical Nurse Specialist (Medical-Surgical)2865 N REYNOLDS RD
TOLEDO, OH 43615
(419) 534-6551
1679669410MRS. LAURALEE BASCH R.N.F.A
Individual
Plastic Surgery2865 N REYNOLDS RD STE 250
TOLEDO, OH 43615
(419) 534-6551
1962584128MRS. LAUREN HALL CURLEY ATC
Individual
Specialist/Technologist (Athletic Trainer)2865 N REYNOLDS RD SUITE 110
TOLEDO, OH 43615
(419) 578-7530
1083796494MRS. NICOLE MARIE TOMLINSON ATC
Individual
Specialist/Technologist (Athletic Trainer)2865 N REYNOLDS RD SUITE 110
TOLEDO, OH 43615
(419) 578-7530
1548304074PROMEDICA CENTRAL PHYSICIANS, LLC
Organization
Family Medicine (Sports Medicine)2865 N REYNOLDS RD SUITE 130
TOLEDO, OH 43615
(419) 578-7036
1346385259 ARTHUR SQUIRES P.T.
Individual
Physical Therapist2865 N REYNOLDS RD
TOLEDO, OH 43615
(419) 578-7530
1871623934VISION ASSOCIATES
Organization
Ophthalmology2865 N REYNOLDS RD SUITE 170
TOLEDO, OH 43615
(419) 578-7083
1821290065VISION ASSOCIATES, INC.
Organization
Ophthalmology2865 N REYNOLDS RD SUITE 170
TOLEDO, OH 43615
(419) 578-7083
1316136310MRS. JULIE WILKERSON SMITH OTR/L
Individual
Occupational Therapist (Hand)2865 N REYNOLDS RD
TOLEDO, OH 43615
(419) 578-7530
1679720528 CHRISTOPHER FONDREN PT
Individual
Physical Therapist2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
(419) 578-7200
1457585341KARL J. BEER LLC
Organization
Orthopaedic Surgery2865 N REYNOLDS RD SUITE 160
TOLEDO, OH 43615
(419) 578-4260
1578897260 MARGARET L LENT CNP
Individual
Nurse Practitioner2865 N REYNOLDS RD SUITE 130
TOLEDO, OH 43615
(419) 578-7036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104955889, enumerated in the NPI registry as an "individual" on March 05, 2007

The provider is located at 2865 N Reynolds Rd Ste. 110 Toledo, Oh 43615 and the phone number is (419) 578-7530

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

This NPI record was last updated on March 05, 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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