CARLY J WILSON MS, LAT, ATC
NPI 1205326642
Specialist/Technologist - Athletic Trainer in Boise, ID
NPI Status: Active since May 10, 2018
Contact Information
1109 W MYRTLE ST STE 200
BOISE, ID
ZIP 83702
Phone: (208) 489-4300
- Individual
- Female
- Specialist/Technologist
- Athletic Trainer
About CARLY WILSON
This page provides the complete NPI Profile along with additional information for Carly Wilson, a provider established in Boise, Idaho with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1205326642 assigned on May 2018. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1205326642
- Provider Name
- CARLY J WILSON MS, LAT, ATC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1109 W MYRTLE ST STE 200 BOISE, ID 83702
- Location Phone
- (208) 489-4300
- Mailing Address
- 1051 SOUTHERN DR UNIT 2108 COLUMBIA, SC 29201
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-10-2018
- Last Update Date
- 09-09-2021
- Code Navigator
Location Map
Secondary Locations
- Blatt Pe Center - Exercise Science 1300 Wheat Street
Columbia, SC 29208
(803) 777-0636 - 2000 Observatory Dr
Madison, WI 53706
(608) 262-3742
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
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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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 | 2 | 0 | 5 | 3 | 2 | 6 | 6 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 6 | 2 | 12 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 6 + 2 + 1 + 2 + 6 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1205326642 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1043939804 | HANNAH HOWELL Individual | Physical Therapist | 1109 W MYRTLE ST STE 200 BOISE, ID 83702 (208) 706-2663 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205326642, enumerated in the NPI registry as an "individual" on May 10, 2018
The provider is located at 1109 W Myrtle St Ste 200 Boise, Id 83702 and the phone number is (208) 489-4300
The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer
This NPI record was last updated on May 10, 2018. 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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