WYATT SUTTON
NPI 1265189633
Specialist/Technologist - Athletic Trainer in Ballwin, MO

NPI Status: Active since March 07, 2022

Contact Information

13537 BARRETT PARKWAY DR STE 105
BALLWIN, MO
ZIP 63021
Phone: (618) 623-1197

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About WYATT SUTTON

This page provides the complete NPI Profile along with additional information for Wyatt Sutton, a provider established in Ballwin, Missouri with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1265189633 assigned on March 2022. The practitioner's primary taxonomy code is 2255A2300X with license number 096005457 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1265189633
Provider Name
WYATT SUTTON
Gender
Male
Entity Type
Individual
Location Address
13537 BARRETT PARKWAY DR STE 105 BALLWIN, MO 63021
Location Phone
(618) 623-1197
Mailing Address
308 E AIRWOOD DR EAST ALTON, IL 62024
Is Sole Proprietor?
Yes
Enumeration Date
03-07-2022
Last Update Date
03-07-2022
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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.
096005457
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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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.
1265189633
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125281866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 2 + 8 + 1 + 8 + 6 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1265189633 is valid because the calculated check digit 3 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
1578251138 STACEY CHEN ATC
Individual
Specialist/Technologist (Athletic Trainer)13537 BARRETT PARKWAY DR STE 105
BALLWIN, MO 63021
(815) 274-7026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265189633, enumerated in the NPI registry as an "individual" on March 07, 2022

The provider is located at 13537 Barrett Parkway Dr Ste 105 Ballwin, Mo 63021 and the phone number is (618) 623-1197

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

This NPI record was last updated on March 07, 2022. 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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