JORDAN M BUSH ATC, LAT
NPI 1366894719
Specialist/Technologist - Athletic Trainer in Newberry, FL

Active since July 11, 2016
400 SW 258TH ST, NEWBERRY, FL 32669(315) 777-1323 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan M Bush Atc, Lat NPPES

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

JORDAN M BUSH ATC, LAT (NPI 1366894719) is an individual athletic trainer provider in Newberry, Florida, licensed in Florida (AL 4544) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1366894719
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJORDAN M BUSHCredential: ATC, LAT
Location Address400 SW 258TH STNewberry, FL 32669-4112
Mailing Address26761 Limestone RdRedwood, NY 13679-4184 · (315) 777-1323
Sole ProprietorNo
Enumeration DateJuly 11, 2016
NPI 1366894719 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 FL · AL 4544
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.
400 SW 258TH ST, Newberry, FL 32669

Other Providers at the Same Location NPPES 2

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

Specialist/Technologist (Athletic Trainer)
400 SW 258TH ST
NEWBERRY, FL 32669
Specialist/Technologist (Athletic Trainer)
400 SW 258TH ST
NEWBERRY, FL 32669

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 Jordan Bush's NPI number?

The NPI number for Jordan Bush is 1366894719. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Jordan Bush located?

Jordan Bush practices at 400 SW 258th St, Newberry, FL 32669. The listed phone number is (315) 777-1323.

What is Jordan Bush'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 Jordan Bush was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.