DR. EVAN MICHAEL PUCILLO PT, DPT
NPI 1578961041
Physical Therapist - Neurology in Salt Lake City, UT
NPI Status: Active since December 15, 2014
Contact Information
50 N MEDICAL DR
1R 5 SOM
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 585-5323
- Individual
- Male
- Physical Therapist
- Neurology
About EVAN PUCILLO
This page provides the complete NPI Profile along with additional information for Evan Pucillo, a provider established in Salt Lake City, Utah with a medical specialization in Physical Therapist, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1578961041 assigned on December 2014. The practitioner's primary taxonomy code is 2251N0400X with license number 9083705-2401 (UT). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1578961041
- Provider Name
- DR. EVAN MICHAEL PUCILLO PT, DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 50 N MEDICAL DR 1R 5 SOM SALT LAKE CITY, UT 84132
- Location Phone
- (801) 585-5323
- Mailing Address
- 127 S 500 E SUITE 600 SALT LAKE CITY, UT 84102
- Mailing Phone
- (801) 587-6336
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-15-2014
- Last Update Date
- 09-22-2015
- Code Navigator
Location Map
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
Physical Therapist Neurology
- Taxonomy Code
- 2251N0400X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 9083705-2401
- License State
- UT
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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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. | |||||||||
| 1 | 5 | 7 | 8 | 9 | 6 | 1 | 0 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 18 | 6 | 2 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 8 + 6 + 2 + 0 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1578961041 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 |
|---|---|---|---|
| 1750388104 | MR. LONNIE DOYLE SMITH PHARMD Individual | Pharmacist (Pharmacotherapy) | 50 N MEDICAL DR RM PA455 SALT LAKE CITY, UT 84132 (801) 585-2641 |
| 1053302984 | DR. HEATHER ANNE NYMAN PHARMD Individual | Pharmacist | 50 N MEDICAL DR RM A050 SALT LAKE CITY, UT 84132 (801) 585-7649 |
| 1245219278 | MRS. PILAR LENGLET MAGOULAS MS, CGC Individual | Genetic Counselor, MS | 50 N MEDICAL DR SOM 2C412 SALT LAKE CITY, UT 84132 (801) 581-8943 |
| 1194794693 | TERESA WILLARD LCSW Individual | Social Worker (Clinical) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 585-2717 |
| 1518928621 | KRISTEN M RIES MD Individual | Internal Medicine (Infectious Disease) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 585-3203 |
| 1548218233 | DR. SARA ROBERTSON VAZQUEZ PHARM.D Individual | Pharmacist | 50 N MEDICAL DR ROOM 1R211 SALT LAKE CITY, UT 84132 (801) 585-3713 |
| 1811946619 | U-U HEMATOLOGY-ONCOLOGY DIVISION Organization | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1427007228 | MARGARET KER HUI YU M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1578513842 | JAMES P KUSHNER M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1649220948 | SCHICKWANN TSAI M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1174573323 | ROBERT A DENT P.A. Individual | Physician Assistant | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1467402628 | MALINDA KAYE HORTON P.N.P. Individual | Nurse Practitioner | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1063464360 | DR. CLAUDIA GOULSTON M.D. Individual | Internal Medicine (Infectious Disease) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1861444929 | ROBERTA Y WANG MD Individual | Obstetrics & Gynecology | 50 N MEDICAL DR SLC, UT 84132 (801) 581-2719 |
| 1134172042 | U-U NONINVASIVE VASCULAR LAB Organization | Surgery | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1528011327 | DR. WILLIAM R HOWELL M.B.B.CH. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1871546697 | JODI FOLEY DAYTON MD Individual | Anesthesiology | 50 N MEDICAL DR SLC, UT 84132 (801) 581-6393 |
| 1104870807 | UNIVERSITY OF UTAH OB CARE NOW Organization | Advanced Practice Midwife | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 587-9500 |
| 1477507184 | UNIVERSITY OF UTAH HOSPITAL PROFESSIONAL SERVICES Organization | Genetic Counselor, MS | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 587-9500 |
| 1639123896 | PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH Organization | Pediatrics (Adolescent Medicine) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-3501 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578961041, enumerated in the NPI registry as an "individual" on December 15, 2014
The provider is located at 50 N Medical Dr 1r 5 Som Salt Lake City, Ut 84132 and the phone number is (801) 585-5323
The provider's speciality is Physical Therapist with taxonomy code 2251N0400X with a focus in Neurology
This NPI record was last updated on December 15, 2014. 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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