INSTITUTE FOR ATHLETIC MEDICINE
NPI 1407834302
Clinic/center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) in Minneapolis,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 3, 2006

Contact Information

2600 39th Ave Ne
Minneapolis,
Post Code: 55421
Phone: (612) 789-0417
Fax: (612) 789-0522

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Institute For Athletic Medicine in Minneapolis - Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Institute For Athletic Medicine is a Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Minneapolis, . Institute For Athletic Medicine practices all healthcare services and medical treatments related to Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). The NPI Number for Institute For Athletic Medicine is 1407834302. The last update date is 2023-01-16.

Institute For Athletic Medicine's current location address is 2600 39th Ave Ne, Minneapolis, . You can contact this provider via phone number (612) 789-0417 and fax number (612) 789-0522. The mailing address for Institute For Athletic Medicine is 2600 39th Ave Ne, Minneapolis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1407834302
Provider Legal Name
FAIRVIEW EXPRESS CARE
Other Organization Name
INSTITUTE FOR ATHLETIC MEDICINE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
2600 39th Ave Ne, Minneapolis,
Location Phone
(612) 789-0417
Location Fax
(612) 789-0522
Mailing Address
Po Box 9372, Minneapolis, Minnesota(MN)
Mailing Phone
612-672-6724
Mailing Fax
-
Enumeration Date
2006-01-03
Last Update Date
2023-01-16
Code Navigator

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

Clinic/Center, Physical Therapy

Taxonomy Code
261QP2000X
Type
-
License No.
-
License State
Minnesota (MN)
Taxonomy Description
-

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)
1 261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF)

Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
116422800 MEDICAID (05) Minnesota (MN)
207168200 MEDICAID (05) Minnesota (MN)
240725600 MEDICAID (05) Minnesota (MN)
240725601 MEDICAID (05) Minnesota (MN)
240725602 MEDICAID (05) Minnesota (MN)
240725603 MEDICAID (05) Minnesota (MN)
240725604 MEDICAID (05) Minnesota (MN)
240725605 MEDICAID (05) Minnesota (MN)
240725606 MEDICAID (05) Minnesota (MN)
240725607 MEDICAID (05) Minnesota (MN)
240725608 MEDICAID (05) Minnesota (MN)
240725609 MEDICAID (05) Minnesota (MN)
240725610 MEDICAID (05) Minnesota (MN)
240725611 MEDICAID (05) Minnesota (MN)
240725612 MEDICAID (05) Minnesota (MN)
240725613 MEDICAID (05) Minnesota (MN)
240725614 MEDICAID (05) Minnesota (MN)
240725615 MEDICAID (05) Minnesota (MN)
240725616 MEDICAID (05) Minnesota (MN)
240725617 MEDICAID (05) Minnesota (MN)
240725618 MEDICAID (05) Minnesota (MN)
240725619 MEDICAID (05) Minnesota (MN)
240725621 MEDICAID (05) Minnesota (MN)
240725623 MEDICAID (05) Minnesota (MN)
240725625 MEDICAID (05) Minnesota (MN)
240725626 MEDICAID (05) Minnesota (MN)
240725627 MEDICAID (05) Minnesota (MN)

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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.
1407834302
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407163830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2407163830
2 + 4 + 0 + 7 + 1 + 6 + 3 + 8 + 3 + 0 + 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 = 2 2

The NPI number 1407834302 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164425112 BRIAN JOHN ISETTS
Individual
Pharmacist, Pharmacotherapy 3510 WILD TURKEY RD
RED WING, Minnesota (MN)
651-385-8353
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1073516266 JOSEPH MICHAEL KLICK
Individual
Nurse Anesthetist, Certified Registered 717 S STATE ST
FAIRMONT, Minnesota (MN)
507-235-3939
1396748307 LIFESCAN MINNESOTA LLC
Organization
Clinic/Center, Radiology 3955 PARKLAWN AVE
EDINA, Minnesota (MN)
952-893-1997
1043213218 MICHAEL JOSEPH BAWEK
Individual
Chiropractor 10532 DREW AVE S
BLOOMINGTON, Minnesota (MN)
952-884-1910