MRS. ADRIENNE RENEE CLARK ATC/LAT
NPI 1386913879
Specialist/Technologist - Athletic Trainer in Kokomo, IN

NPI Status: Active since December 29, 2011

Contact Information

2312 S DIXON RD
SUITE 250
KOKOMO, IN
ZIP 46902
Phone: (765) 455-2122

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About ADRIENNE CLARK

This page provides the complete NPI Profile along with additional information for Adrienne Clark, a provider established in Kokomo, Indiana with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1386913879 assigned on December 2011. The practitioner's primary taxonomy code is 2255A2300X with license number 36001446A (IN). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1386913879
Provider Name
MRS. ADRIENNE RENEE CLARK ATC/LAT
Gender
Female
Entity Type
Individual
Location Address
2312 S DIXON RD SUITE 250 KOKOMO, IN 46902
Location Phone
(765) 455-2122
Mailing Address
101 S CHURCH ST ELWOOD, IN 46036
Mailing Phone
(765) 437-1117
Is Sole Proprietor?
Yes
Enumeration Date
12-29-2011
Last Update Date
12-29-2011
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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.
36001446A
License State
IN
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.
1386913879
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231661816814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 8 + 1 + 6 + 8 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1386913879 is valid because the calculated check digit 9 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
1760493399NORTH CENTRAL REHABILITATION SERVICES, LLC
Organization
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1538271804 CHARLES T. DAMITZ PT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1013019819 ANTHONY M. PENA CHT, OT, LPN
Individual
Occupational Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1467554311 MICHELLE F. NICHOLSON MSPT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1043312903 JENNIFER L. OUSLEY MPT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1902909179 BRENDA A. NICHOLSON MSPT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1891868170 ALISHA D SWEET PT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1053484329 SUSAN R SWALES PT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1659444941 BOBBY C BLANTON
Individual
Occupational Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1831262039 WENDY S WISE
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1134241706OTOLARYNGOLOGY ASSOCIATES LLC
Organization
Otolaryngology2312 S DIXON RD STE 200
KOKOMO, IN 46902
(317) 844-7059
1912143876MR. RAMIRO CORTEZ PTA
Individual
Physical Therapy Assistant2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1285870147MR. JEFFREY A MOSSBURG PTA
Individual
Physical Therapy Assistant2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1477799336MRS. ABBEE R SUMMERS PTA
Individual
Physical Therapy Assistant2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1194961060MRS. SHEILA R SPRINGER PTA
Individual
Physical Therapy Assistant2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1679707921 DIANE GALL DPT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1417183005 MARGARET DOROTHY JOHNSON PTA
Individual
Physical Therapy Assistant2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1427389717BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Organization
Orthopaedic Surgery2312 S DIXON RD SUITE 200
KOKOMO, IN 46902
(765) 865-6633
1871841338MRS. LISA ANN TATE ATC
Individual
Specialist/Technologist (Athletic Trainer)2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122
1225130214 NATHAN ALLAN HERRMANN MPT
Individual
Physical Therapist2312 S DIXON RD SUITE 250
KOKOMO, IN 46902
(765) 455-2122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386913879, enumerated in the NPI registry as an "individual" on December 29, 2011

The provider is located at 2312 S Dixon Rd Suite 250 Kokomo, In 46902 and the phone number is (765) 455-2122

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

This NPI record was last updated on December 29, 2011. 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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