MARIO SCHACKELMAN LAT
NPI 1912990177
Specialist/Technologist - Athletic Trainer in Milwaukee, WI

NPI Status: Active since August 23, 2005

Contact Information

625 E SAINT PAUL AVE
MILWAUKEE, WI
ZIP 53202
Phone: (414) 223-2727
Fax: (414) 223-2724

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About MARIO SCHACKELMAN

This page provides the complete NPI Profile along with additional information for Mario Schackelman, a provider established in Milwaukee, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1912990177 assigned on August 2005. The practitioner's primary taxonomy code is 2255A2300X with license number 492039 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1912990177
Provider Name
MARIO SCHACKELMAN LAT
Gender
Male
Entity Type
Individual
Location Address
625 E SAINT PAUL AVE MILWAUKEE, WI 53202
Location Phone
(414) 223-2727
Location Fax
(414) 223-2724
Mailing Address
625 E SAINT PAUL AVE MILWAUKEE, WI 53202
Mailing Phone
(414) 223-2727
Mailing Fax
(414) 223-2724
Is Sole Proprietor?
Yes
Enumeration Date
08-23-2005
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.
492039
License State
WI
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.
1912990177
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221890114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 9 + 0 + 1 + 1 + 4 + 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 1912990177 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912999624 WILLIAM B SMITH MD
Individual
Orthopaedic Surgery625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1194717637 ANTHONY A KACZKOWSKI LAT
Individual
Specialist/Technologist (Athletic Trainer)625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1154314318 CHRISTIAN J MACKENZIE LAT
Individual
Specialist/Technologist (Athletic Trainer)625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1366435414 MARK E COLE IV ATC,LAT,CSCS
Individual
Specialist/Technologist (Athletic Trainer)625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1700879871 ALAN E EDWARDS PA
Individual
Physician Assistant625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1902848252MR. ANDRE D HARWELL LAT
Individual
Specialist/Technologist (Athletic Trainer)625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1639270978 PATRICIA F FASCIOTTI PT
Individual
Physical Therapist625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 272-9595
1275634594 GRIFFIN A EWALD PT
Individual
Physical Therapist625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 272-9594
1871621391 SUSAN M SIEGFRIED O.T.
Individual
Occupational Therapist625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1346233509 HEATHER M. BARRY P.T.
Individual
Physical Therapist625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 223-2727
1447294053 EDWARD J MAHER PT, AMPT, OCS, CMPT
Individual
Physical Therapist625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 272-9595
1558649665 CORY M LEIER PT
Individual
Physical Therapist625 E SAINT PAUL AVE
MILWAUKEE, WI 53202
(414) 272-9595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912990177, enumerated in the NPI registry as an "individual" on August 23, 2005

The provider is located at 625 E Saint Paul Ave Milwaukee, Wi 53202 and the phone number is (414) 223-2727

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

This NPI record was last updated on August 23, 2005. 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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