JOSHUA JACKSON
NPI 1760166052
Specialist/Technologist - Athletic Trainer in Berea, OH

NPI Status: Active since June 15, 2023

Contact Information

76 LOU GROZA BLVD
BEREA, OH
ZIP 44017
Phone: (732) 272-7869

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JOSHUA JACKSON

This page provides the complete NPI Profile along with additional information for Joshua Jackson, a provider established in Berea, Ohio with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1760166052 assigned on June 2023. The practitioner's primary taxonomy code is 2255A2300X with license number 2000053452 (OH). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1760166052
Provider Name
JOSHUA JACKSON
Gender
Male
Entity Type
Individual
Location Address
76 LOU GROZA BLVD BEREA, OH 44017
Location Phone
(732) 272-7869
Mailing Address
76 LOU GROZA BLVD BEREA, OH 44017
Is Sole Proprietor?
Yes
Enumeration Date
06-15-2023
Last Update Date
06-15-2023
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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.
2000053452
License State
OH
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.
1760166052
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271202612010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 2 + 6 + 1 + 2 + 0 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1760166052 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 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174863260MR. GORDON RIAN WILLIAMS ATC
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(440) 891-5128
1821339730 ANDRE' M TUCKER ATC/L
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(440) 891-5127
1942644059MR. CALEB COUTURE ATC
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(440) 891-5124
1841601598 BRADY MOLLNER
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(440) 334-8354
1285045641 AARON WALKER ATC
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(309) 825-4556
1659783819 TIMOTHY RIDNER
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(570) 807-9123
1639540081 SETH CAMPBELL
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(440) 824-3434
1508423500 RYAN COLLINS
Individual
Specialist/Technologist (Athletic Trainer)76 LOU GROZA BLVD
BEREA, OH 44017
(502) 644-8138
1902581820 JORDAN VELEZ
Individual
Physical Therapist (Sports)76 LOU GROZA BLVD
BEREA, OH 44017
(973) 454-1073
1144041120 JAFAR FELIX AL KENANY DPT, ATC
Individual
Physical Therapist76 LOU GROZA BLVD
BEREA, OH 44017
(650) 391-4986

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760166052, enumerated in the NPI registry as an "individual" on June 15, 2023

The provider is located at 76 Lou Groza Blvd Berea, Oh 44017 and the phone number is (732) 272-7869

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

This NPI record was last updated on June 15, 2023. 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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