MR. WILLIAM CLARK ATC, LAT
NPI 1114470168
Specialist/Technologist - Athletic Trainer in Conroe, TX
NPI Status: Active since July 26, 2016
Contact Information
3200 W DAVIS ST
CONROE, TX
ZIP 77304
Phone: (936) 709-5793
Fax: (936) 709-5863
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About WILLIAM CLARK
This page provides the complete NPI Profile along with additional information for William Clark, a provider established in Conroe, Texas with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1114470168 assigned on July 2016. The practitioner's primary taxonomy code is 2255A2300X with license number AT1497 (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1114470168
- Provider Name
- MR. WILLIAM CLARK ATC, LAT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3200 W DAVIS ST CONROE, TX 77304
- Location Phone
- (936) 709-5793
- Location Fax
- (936) 709-5863
- Mailing Address
- 3200 W DAVIS ST CONROE, TX 77304
- Mailing Phone
- (936) 709-5793
- Mailing Fax
- (936) 709-5863
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-26-2016
- Last Update Date
- 07-26-2016
- 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.
- AT1497
- License State
- TX
- 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 | 4 | 7 | 0 | 1 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 8 | 7 | 0 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 8 + 7 + 0 + 1 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1114470168 is valid because the calculated check digit 8 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427265727 | MRS. REBECCA JANE MATHEWS LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 3200 W DAVIS ST CONROE, TX 77304 (936) 709-5828 |
| 1659090165 | JUDY GAYLE MORRIS SLP Individual | Speech-Language Pathologist | 3200 W DAVIS ST CONROE, TX 77304 (936) 709-5700 |
| 1811689698 | SETH ADAM CASTILLO MSAT, ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 3200 W DAVIS ST CONROE, TX 77304 (936) 900-6073 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114470168, enumerated in the NPI registry as an "individual" on July 26, 2016
The provider is located at 3200 W Davis St Conroe, Tx 77304 and the phone number is (936) 709-5793
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 26, 2016. 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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