JAE HWAN SONG ATC
NPI 1265823421
Specialist/Technologist - Athletic Trainer in Daytona Beach, FL

NPI Status: Active since February 10, 2015

Contact Information

640 DR MARY MCLEOD BETHUNE BLVD
HANDFILED ATHLETIC TRAINING CENTER
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 481-2261

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JAE HWAN SONG

This page provides the complete NPI Profile along with additional information for Jae Hwan Song, a provider established in Daytona Beach, Florida with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1265823421 assigned on February 2015. The practitioner's primary taxonomy code is 2255A2300X with license number AL3738 (FL). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1265823421
Provider Name
JAE HWAN SONG ATC
Gender
Male
Entity Type
Individual
Location Address
640 DR MARY MCLEOD BETHUNE BLVD HANDFILED ATHLETIC TRAINING CENTER DAYTONA BEACH, FL 32114
Location Phone
(386) 481-2261
Mailing Address
1400 HANCOCK BLVD APT 1312 DAYTONA BEACH, FL 32114
Mailing Phone
(619) 886-6597
Is Sole Proprietor?
Yes
Enumeration Date
02-10-2015
Last Update Date
02-10-2015
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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.
AL3738
License State
FL
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.
1265823421
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125162644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 2 + 6 + 4 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1265823421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922074293MR. BRIAN WILLIAM JANSEN ATC, LAT
Individual
Specialist640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2261
1275688640 LANI ELLEN LUERS ATC
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2262
1689076499BETHUNE-COOKMAN UNIVERSITY
Organization
Orthopaedic Surgery (Sports Medicine)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 421-2215
1619367356 ITSUKO YAMAGUCHI M.S., ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2281
1639549272MR. NEVILLE WILLIBE SPURGEON JR. MS, ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2281
1689128431 MATTHEW LUERS A.T.,C.
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2261
1295236057MR. STEPHONE DELANO DEVANTE BAKER
Individual
Kinesiotherapist640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2000
1033697479 BRIA JONES
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(336) 268-5455
1659859544 TAMERA ALEXIS DEMPS
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2000
1154978575 ZUMONDRAE NEWSOME
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2864
1770199416 NIKKITA NOZISTEL
Individual
Student in an Organized Health Care Education/Training Program640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(561) 251-8953
1467052399 KASIIM SHAKIR BARR
Individual
Psychologist (Counseling)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(407) 591-9502
1073275525 GIA KIRK
Individual
Behavior Technician640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(404) 820-1823
1417614074 TAYLOR DANIELLE GUYTON
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2000
1457018889 RILEY RIVERS STUDENT
Individual
Student in an Organized Health Care Education/Training Program640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(904) 481-2507
1255110581 AMBER KINNEY
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2000
1720825680 ANDREA PADILLA
Individual
Student in an Organized Health Care Education/Training Program640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(787) 388-4404
1528806619 LATYA HURT
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2000
1669210605 KAITLYN E WALKER
Individual
Specialist/Technologist (Athletic Trainer)640 DR MARY MCLEOD BETHUNE BLVD
DAYTONA BEACH, FL 32114
(386) 481-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265823421, enumerated in the NPI registry as an "individual" on February 10, 2015

The provider is located at 640 Dr Mary Mcleod Bethune Blvd Handfiled Athletic Training Center Daytona Beach, Fl 32114 and the phone number is (386) 481-2261

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

This NPI record was last updated on February 10, 2015. 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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