MR. MATTHEW CAMPBELL LAT, ATC, ITAT, CES
NPI 1114369626
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN
NPI Status: Active since July 25, 2013
Contact Information
7956 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 458-3640
Fax: (260) 479-1819
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About MATTHEW CAMPBELL
This page provides the complete NPI Profile along with additional information for Matthew Campbell, a provider established in Fort Wayne, Indiana with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1114369626 assigned on July 2013. The practitioner's primary taxonomy code is 2255A2300X with license number 36002135A (IN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1114369626
- Provider Name
- MR. MATTHEW CAMPBELL LAT, ATC, ITAT, CES
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804
- Location Phone
- (260) 458-3640
- Location Fax
- (260) 479-1819
- Mailing Address
- 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804
- Mailing Phone
- (260) 273-2281
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-25-2013
- Last Update Date
- 04-01-2024
- Code Navigator
Location Map
Secondary Locations
- 1 University Ave
Angola, IN 46703
(260) 273-2281 - 1701 Freeman St
Fort Wayne, IN 46802
(260) 479-3498 - 7201 Engle Rd
Fort Wayne, IN 46804
(260) 432-1800
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.
- 36002135A
- License State
- IN
- 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 | 1 | 4 | 3 | 6 | 9 | 6 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 6 | 6 | 18 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 6 + 6 + 1 + 8 + 6 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1114369626 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 |
|---|---|---|---|
| 1689671166 | PAUL E. LATER M.D. Individual | Psychiatry & Neurology (Neurology) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1134241227 | DR. JOHN J BRINKMAN JR. PH.D. Individual | Clinical Neuropsychologist | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1912157173 | AMY A SUTTON NP Individual | Nurse Practitioner (Family) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1033100995 | ALLIED PHYSICIANS INC Organization | Clinic/Center (Magnetic Resonance Imaging (MRI)) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 460-3198 |
| 1952308140 | C. JOE OTTINGER M.D. Individual | Psychiatry & Neurology (Neurology) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1184886509 | MRS. ELIZABETH ANN OSBORNE NP-C, CNRN, SCRN Individual | Nurse Practitioner (Family) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1811994213 | DAVID J. LUTZ M.D. Individual | Physical Medicine & Rehabilitation | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1992091656 | DR. NATALIE CORNAY MANALO M.D. Individual | Psychiatry & Neurology (Neurology) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1073561841 | NEUROSPINE-PAIN SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 460-3100 |
| 1366433369 | ALLIED PHYSICIANS INC Organization | Neurological Surgery | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1205098100 | ALLIED PHYSICIANS INC Organization | Neurological Surgery | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1689995334 | ALLIED PHYSICIANS INC Organization | Psychiatry & Neurology (Neurology) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
| 1467656132 | MRS. ANGELA D REIMER OTD, OTR Individual | Occupational Therapist | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-6143 |
| 1801992235 | RYAN C. ROLF M.D. Individual | Hospitalist | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-6722 |
| 1326174582 | HELEN BURNS TWOMEY NP-C Individual | Nurse Practitioner (Family) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-6722 |
| 1447668579 | LEIA A. BECKTELL NP Individual | Nurse Practitioner (Family) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-6722 |
| 1609324342 | MELANIE J. HEATH NP Individual | Nurse Practitioner (Family) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-6722 |
| 1841824893 | NATASHA L. MYERS NP Individual | Nurse Practitioner (Family) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-6722 |
| 1316932734 | CYNTHIA K GORRELL NP Individual | Nurse Practitioner (Family) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-6722 |
| 1437156239 | JAMES C STEVENS MD Individual | Psychiatry & Neurology (Neurology) | 7956 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-2416 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114369626, enumerated in the NPI registry as an "individual" on July 25, 2013
The provider is located at 7956 W Jefferson Blvd Fort Wayne, In 46804 and the phone number is (260) 458-3640
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 25, 2013. 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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