JENNIFER LUDTKE ATC
NPI 1033528443
Specialist/Technologist - Athletic Trainer in Portland, OR

Q: What is Jennifer Ludtke's NPI number?

The NPI number for Jennifer Ludtke is 1033528443. It was assigned to this individual provider in the NPPES registry on August 11, 2014. The provider is also known as Jenni Ludtke Lat, Atc.

Q: What is Jennifer Ludtke's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Ludtke was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 11, 2014

5210 N KERBY AVE, PORTLAND, OR 97217(559) 707-1953 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 24, 2022, Jan 8, 2020 (2 updates tracked since 2020).

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About Jennifer Ludtke Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LUDTKE ATC (NPI 1033528443) is an individual athletic trainer provider in Portland, Oregon, licensed in California (2000018517) and active in the NPI registry since August 2014. She maintains a secondary practice location in Tualatin.

NPPES Registry Identity

NPI1033528443

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJENNIFER LUDTKECredential: ATC

Location Address5210 N KERBY AVEPortland, OR 97217-2699

Mailing Address1739 Ne 47th AvePortland, OR 97213-2009 · (559) 707-1953

Phone(559) 707-1953

Sole ProprietorNo

Enumeration DateAugust 11, 2014

Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2022

✔ NPI 1033528443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Licenses✔ Licensed in CA · 2000018517✔ Licensed in OR · AT-AT-10206431

Definition

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.

5210 N KERBY AVE, Portland, OR 97217

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Other Names 1

Professional Name (2)Jenni Ludtke Lat, Atc

Secondary Practice Location 1

Location 111361 SW Leveton DrTualatin, OR 97062 · Phone (559) 707-1953

Other Identifiers 1

OtherAT-AT-10206431OR · State Licensure

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON HAUN ATC

Specialist/Technologist (Athletic Trainer)

5210 N KERBY AVE
PORTLAND, OR 97217

Multnomah County (541) 921-2288

SARAH HARRIS VAZQUEZ MS, CCC-SLP

Speech-Language Pathologist

5210 N KERBY AVE
PORTLAND, OR 97217

Multnomah County (971) 404-5821

AMY A TOENGI FNP

Nurse Practitioner (Family)

5210 N KERBY AVE, BASEMENT
PORTLAND, OR 97217

Multnomah County (503) 988-3360

LILY ROSE GILMORE

Speech-Language Pathologist

5210 N KERBY AVE
PORTLAND, OR 97217

Multnomah County (503) 916-5180

MULTNOMAH COUNTY

Clinic/Center (Federally Qualified Health Center (FQHC))

5210 N KERBY AVE
PORTLAND, OR 97217

Multnomah County (503) 988-3360

REBECCA NORMAN

Counselor (School)

5210 N KERBY AVE
PORTLAND, OR 97217

Multnomah County (503) 916-5180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Ludtke's NPI number?

The NPI number for Jennifer Ludtke is 1033528443. It was assigned to this individual provider in the NPPES registry on August 11, 2014. The provider is also known as Jenni Ludtke Lat, Atc.

Where is Jennifer Ludtke located?

Jennifer Ludtke practices at 5210 N Kerby Ave, Portland, OR 97217. The listed phone number is (559) 707-1953.

What is Jennifer Ludtke's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jennifer Ludtke was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.