MR. KEITH ALLEN MILLER II ATC, EMT-P
NPI 1184020026
Specialist/Technologist - Athletic Trainer in Crete, IL

NPI Status: Active since November 04, 2014

Contact Information

419 HERMAN ST
CRETE, IL
ZIP 60417
Phone: (708) 927-6701

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About KEITH MILLER

This page provides the complete NPI Profile along with additional information for Keith Miller, a provider established in Crete, Illinois with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1184020026 assigned on November 2014. The practitioner's primary taxonomy code is 2255A2300X with license number 096.003840 (IL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1184020026
Provider Name
MR. KEITH ALLEN MILLER II ATC, EMT-P
Gender
Male
Entity Type
Individual
Location Address
419 HERMAN ST CRETE, IL 60417
Location Phone
(708) 927-6701
Mailing Address
422 HERMAN ST CRETE, IL 60417
Mailing Phone
(708) 927-6701
Is Sole Proprietor?
No
Enumeration Date
11-04-2014
Last Update Date
03-13-2019
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Location Map

Secondary Locations

  • 4749 Lincoln Mall Dr Ste. 550
    Matteson, IL 60443
    (708) 283-9765

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.
096.003840
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.
1184020026
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2116402004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 0 + 2 + 0 + 0 + 4 + 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 1184020026 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184020026, enumerated in the NPI registry as an "individual" on November 04, 2014

The provider is located at 419 Herman St Crete, Il 60417 and the phone number is (708) 927-6701

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

This NPI record was last updated on November 04, 2014. 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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