MR. JACOB WILLIAM TUCKER ATC
NPI 1366672081
Specialist/Technologist - Athletic Trainer in Olney, IL

NPI Status: Active since July 15, 2009

Contact Information

800 E LOCUST ST
OLNEY, IL
ZIP 62450
Phone: (618) 395-2131
Fax: (618) 395-6289

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JACOB TUCKER

This page provides the complete NPI Profile along with additional information for Jacob Tucker, a provider established in Olney, Illinois with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1366672081 assigned on July 2009. The practitioner's primary taxonomy code is 2255A2300X with license number 096.002692 (IL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1366672081
Provider Name
MR. JACOB WILLIAM TUCKER ATC
Gender
Male
Entity Type
Individual
Location Address
800 E LOCUST ST OLNEY, IL 62450
Location Phone
(618) 395-2131
Location Fax
(618) 395-6289
Mailing Address
800 E LOCUST ST OLNEY, IL 62450
Mailing Phone
(618) 395-2131
Mailing Fax
(618) 395-6289
Is Sole Proprietor?
No
Enumeration Date
07-15-2009
Last Update Date
07-15-2009
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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.
096.002692
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.
1366672081
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261274016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 2 + 7 + 4 + 0 + 1 + 6 + 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 1366672081 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649252511DR. PAUL W SUTHERLAND MD
Individual
Surgery800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1851360804MS. VICKIE LYNN ROESER PT
Individual
Physical Therapist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6031
1578529905MRS. SHARI LYN BERGER M.S., CCC-SLP
Individual
Speech-Language Pathologist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6099
1457301947 TAMARA MARIE SLANKARD OT
Individual
Occupational Therapist800 E LOCUST ST RICHLAND MEMORIAL HOSPITAL
OLNEY, IL 62450
(618) 395-6041
1891749784 ROBERT E. NASH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1558305771MRS. EMILY GARRETT SAGER OTR/L
Individual
Occupational Therapist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6041
1932131711PIONEER PATHOLOGY, S.C.
Organization
Pathology (Anatomic Pathology & Clinical Pathology)800 E LOCUST ST
OLNEY, IL 62450
(877) 852-4669
1992730451 ANGELA D MCLAUGHLIN P.T.
Individual
Physical Therapist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6031
1851317531 BILLY ROSS
Individual
Nurse Anesthetist, Certified Registered800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1568471753MR. SHANNON DUANE BLANK P.T.
Individual
Physical Therapist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6031
1316044324 JOHN WALL
Individual
Nurse Anesthetist, Certified Registered800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1417054438 JOHN ALLEN
Individual
Nurse Anesthetist, Certified Registered800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1568569515 DIRK ROSENBERG
Individual
Emergency Medicine800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1134292774 SONJA KAY SHINKLE OTRL
Individual
Occupational Therapist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6031
1033245964 DONNA WHITAKER
Individual
Dietitian, Registered800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1013049212 NIRANAT DEJTIRANUKUL M.D.
Individual
Otolaryngology800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1235352261MRS. CASSIE D LYNCH M.S., CCC-SLP
Individual
Speech-Language Pathologist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6099
1760691455 KACI MARIE WELLS
Individual
Speech-Language Pathologist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-6099
1134394273MRS. JILL NICOLE PROSSER M.A.
Individual
Speech-Language Pathologist800 E LOCUST ST
OLNEY, IL 62450
(618) 395-7340
1003131327RICHLAND MEMORIAL HOSPITAL
Organization
General Acute Care Hospital800 E LOCUST ST
OLNEY, IL 62450
(618) 395-2131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366672081, enumerated in the NPI registry as an "individual" on July 15, 2009

The provider is located at 800 E Locust St Olney, Il 62450 and the phone number is (618) 395-2131

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

This NPI record was last updated on July 15, 2009. 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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