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MATT JORDAN
NPI 1053717355
Specialist/Technologist - Athletic Trainer in Minneapolis, MN

Active since November 13, 2014
3112 HUMBOLDT AVE S, APARTMENT 4, MINNEAPOLIS, MN 55408(612) 508-4967 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matt Jordan NPPES

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

MATT JORDAN (NPI 1053717355) is an individual athletic trainer provider in Minneapolis, Minnesota, licensed in Minnesota (2457) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1053717355
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMATT JORDAN
Location Address3112 HUMBOLDT AVE S, APARTMENT 4Minneapolis, MN 55408-2683
Mailing Address3112 Humboldt Ave S, Apartment 4Minneapolis, MN 55408-2683 · (612) 508-4967
Phone(612) 508-4967
Sole ProprietorYes
Enumeration DateNovember 13, 2014
✔ NPI 1053717355 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
License✔ Licensed in MN · 2457
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.
3112 HUMBOLDT AVE S, Minneapolis, MN 55408
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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 Matt Jordan's NPI number?

The NPI number for Matt Jordan is 1053717355. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Matt Jordan located?

Matt Jordan practices at 3112 Humboldt Ave S Apartment 4, Minneapolis, MN 55408. The listed phone number is (612) 508-4967.

What is Matt Jordan'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 Matt Jordan was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.