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SCOT H. JAENICKE A.T.C.
NPI 1295956910
Specialist/Technologist - Athletic Trainer in Robbinsdale, MN

Active since May 01, 2007
4080 W BROADWAY AVE, SUITE 300, ROBBINSDALE, MN 55422(763) 533-0341 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scot H. Jaenicke A.t.c. NPPES

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

SCOT H. JAENICKE A.T.C. (NPI 1295956910) is an individual athletic trainer provider in Robbinsdale, Minnesota and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1295956910
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameSCOT H. JAENICKECredential: A.T.C.
Location Address4080 W BROADWAY AVE, SUITE 300Robbinsdale, MN 55422-5604
Mailing Address13607 Country LnBurnsville, MN 55337-4133 · (952) 898-2146
Phone(763) 533-0341
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295956910 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
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.
4080 W BROADWAY AVE, Robbinsdale, MN 55422
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Other Providers at the Same Location NPPES 20

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

MR. CHRISTOPHER NICHOLAS THEIN MS, ATC, EMT
Specialist/Technologist (Athletic Trainer)
4080 W BROADWAY AVE, 300
ROBBINSDALE, MN 55422
Hennepin County (612) 672-7107
IAN MICHAEL TOPPING DPT
Physical Therapist
4080 W BROADWAY AVE, SUITE 200
ROBBINSDALE, MN 55422
Hennepin County (763) 398-8888
MRS. LISA MARIE PARTYKA ATC
Specialist/Technologist (Athletic Trainer)
4080 W BROADWAY AVE
ROBBINSDALE, MN 55422
Hennepin County (763) 792-5147
HEALTHPLUS CHIROPRACTIC CLINIC, P.A.
Chiropractor
4080 W BROADWAY AVE, STE 128
ROBBINSDALE, MN 55422
Hennepin County (763) 535-4342
DEBORAH SUSAN TALMAGE PT
Physical Therapist
4080 W BROADWAY AVE, #300
ROBBINSDALE, MN 55422
Hennepin County (763) 533-0541
HEALTH ACTIVATION SERVICES, PLLC
Clinic/Center (Occupational Medicine)
4080 W BROADWAY AVE, #200
ROBBINSDALE, MN 55422
Hennepin County (763) 398-8888
SCOTT GREGORY GARDNER ATC
Specialist/Technologist (Athletic Trainer)
4080 W BROADWAY AVE, SUITE 300
ROBBINSDALE, MN 55422
Hennepin County (763) 520-0167
MRS. BRENDA JOELLE LARSON DOLEJS ATC, ATR
Specialist/Technologist (Athletic Trainer)
4080 W BROADWAY AVE, SUITE 300
ROBBINSDALE, MN 55422
Hennepin County (612) 672-7109

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 Scot Jaenicke's NPI number?

The NPI number for Scot Jaenicke is 1295956910. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Scot Jaenicke located?

Scot Jaenicke practices at 4080 W Broadway Ave Suite 300, Robbinsdale, MN 55422. The listed phone number is (763) 533-0341.

What is Scot Jaenicke'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 Scot Jaenicke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.