MR. PHILIP A VANDE BERG M.S., A.T.C.
NPI 1609832112
Specialist/Technologist - Athletic Trainer in Philadelphia, PA

NPI Status: Active since April 24, 2006

Contact Information

3141 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 895-0497
Fax: (215) 895-1943

Get Directions Reviews

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About PHILIP VANDE BERG

This page provides the complete NPI Profile along with additional information for Philip Vande Berg, a provider established in Philadelphia, Pennsylvania with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1609832112 assigned on April 2006. The practitioner's primary taxonomy code is 2255A2300X with license number RT-003104 (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1609832112
Provider Name
MR. PHILIP A VANDE BERG M.S., A.T.C.
Gender
Male
Entity Type
Individual
Location Address
3141 CHESTNUT ST PHILADELPHIA, PA 19104
Location Phone
(215) 895-0497
Location Fax
(215) 895-1943
Mailing Address
3141 CHESTNUT ST PHILADELPHIA, PA 19104
Mailing Phone
(215) 895-0497
Mailing Fax
(215) 895-1943
Is Sole Proprietor?
Yes
Enumeration Date
04-24-2006
Last Update Date
07-08-2007
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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.
RT-003104
License State
PA
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.
1609832112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609163412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 3 + 4 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1609832112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306819859 MICHAEL WESTERFER ATC
Individual
Specialist/Technologist (Athletic Trainer)3141 CHESTNUT ST DREXEL UNIVERSITY - ATHLETICS
PHILADELPHIA, PA 19104
(215) 895-1734
1760814511MRS. MONIQUE DOWD RD
Individual
Dietitian, Registered3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(610) 246-0684
1235798810 LAURA C MCHUGH ATC
Individual
Specialist/Technologist (Athletic Trainer)3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 571-4237
1497307433 LEAH NISSLE MA, ATC
Individual
Specialist/Technologist (Athletic Trainer)3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 895-1597
1114516838 JUHI TRIVEDI PA-C
Individual
Physician Assistant3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 895-2000
1700468972 NATALYA DYAK PA-C
Individual
Physician Assistant3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 895-2000
1821746587 NUHAD M ALSHAFEY CRNA
Individual
Nurse Anesthetist, Certified Registered3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 895-2000
1225899446 SABRINA SHU PA-C
Individual
Physician Assistant3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 895-2000
1326809542 FAITH SONG
Individual
Physician Assistant3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 895-2000
1689424954 JOY KEH PA
Individual
Physician Assistant3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(215) 895-2000
1164233318 DRASHTI PATEL MHS, PA-C
Individual
Physician Assistant3141 CHESTNUT ST
PHILADELPHIA, PA 19104
(856) 812-1157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609832112, enumerated in the NPI registry as an "individual" on April 24, 2006

The provider is located at 3141 Chestnut St Philadelphia, Pa 19104 and the phone number is (215) 895-0497

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

This NPI record was last updated on April 24, 2006. 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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