MR. ZACHARY ROBERTSON ATC, LAT
NPI 1811382617
Specialist/Technologist - Athletic Trainer in Fort Drum, NY

NPI Status: Active since March 30, 2015

Contact Information

4450 CAMP SWIFT RD
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-6730

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About ZACHARY ROBERTSON

This page provides the complete NPI Profile along with additional information for Zachary Robertson, a provider established in Fort Drum, New York with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1811382617 assigned on March 2015. The practitioner's primary taxonomy code is 2255A2300X with license number 115204 (IA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1811382617
Provider Name
MR. ZACHARY ROBERTSON ATC, LAT
Gender
Male
Entity Type
Individual
Location Address
4450 CAMP SWIFT RD FORT DRUM, NY 13602
Location Phone
(315) 772-6730
Mailing Address
811 TAMARACK DR APT D CARTHAGE, NY 13619
Mailing Phone
(906) 236-1042
Is Sole Proprietor?
No
Enumeration Date
03-30-2015
Last Update Date
11-08-2022
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Location Map

Secondary Locations

  • 532 Northland Dr
    Marquette, MI 49855
    (906) 236-1042

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.
115204
License State
IA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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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.
1811382617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
282168462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 6 + 8 + 4 + 6 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1811382617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083948376MS. KRISTINE ELIZABETH JOHNSON ATC
Individual
Specialist/Technologist (Athletic Trainer)4450 CAMP SWIFT RD FORT DRUM
FORT DRUM, NY 13602
(315) 262-4925

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811382617, enumerated in the NPI registry as an "individual" on March 30, 2015

The provider is located at 4450 Camp Swift Rd Fort Drum, Ny 13602 and the phone number is (315) 772-6730

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

This NPI record was last updated on March 30, 2015. 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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