MRS. SAMANTHA PATRICIA BOURASSA ATC, LAT
NPI 1245792910
Specialist/Technologist - Athletic Trainer in Post Falls, ID

NPI Status: Active since April 02, 2019

Contact Information

2832 E POLELINE AVE
POST FALLS, ID
ZIP 83854
Phone: (208) 773-0581

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About SAMANTHA BOURASSA

This page provides the complete NPI Profile along with additional information for Samantha Bourassa, a provider established in Post Falls, Idaho with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1245792910 assigned on April 2019. The practitioner's primary taxonomy code is 2255A2300X with license number AT-436 (ID). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1245792910
Provider Name
MRS. SAMANTHA PATRICIA BOURASSA ATC, LAT
Gender
Female
Entity Type
Individual
Location Address
2832 E POLELINE AVE POST FALLS, ID 83854
Location Phone
(208) 773-0581
Mailing Address
1852 DIPPER LOOP POST FALLS, ID 83854
Mailing Phone
(406) 899-3757
Is Sole Proprietor?
Yes
Enumeration Date
04-02-2019
Last Update Date
04-02-2019
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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-436
License State
ID
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.
1245792910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285149492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 4 + 9 + 4 + 9 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245792910 is valid because the calculated check digit 0 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 1245792910, enumerated in the NPI registry as an "individual" on April 02, 2019

The provider is located at 2832 E Poleline Ave Post Falls, Id 83854 and the phone number is (208) 773-0581

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

This NPI record was last updated on April 02, 2019. 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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