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JESSICA DEFORREST MA, ATC
NPI 1508133190
Specialist/Technologist - Athletic Trainer in Robbinsdale, MN

Active since November 26, 2011
4080 W BROADWAY AVE STE 300, ROBBINSDALE, MN 55422(651) 231-8379 Get Directions Write a Review

NPPES record last updated: November 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Deforrest Ma, Atc NPPES

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

JESSICA DEFORREST MA, ATC (NPI 1508133190) is an individual athletic trainer provider in Robbinsdale, Minnesota, licensed in Minnesota (1755) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1508133190
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJESSICA DEFORRESTCredential: MA, ATC
Location Address4080 W BROADWAY AVE STE 300Robbinsdale, MN 55422-5607
Mailing Address470 Hickory Ln NOakdale, MN 55128-7037
Phone(651) 231-8379
Sole ProprietorYes
Enumeration DateNovember 26, 2011
✔ NPI 1508133190 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 · 1755
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 STE 300, Robbinsdale, MN 55422
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Other Providers at the Same Location NPPES 8

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

KRYSTAL HOANG DDS
Dentist (General Practice)
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (763) 712-3214
YULIYA KARTAEV CADT
Dental Therapist
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (763) 712-3214
YASMIN OMER DDS
Dentist
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (443) 759-0910
SUHAIL KASSAM DDS
Dentist (General Practice)
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (763) 712-3214
MATTHEW STONEBERG MS, ATC
Specialist/Technologist (Athletic Trainer)
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (763) 533-0541
CLD - ROBBINSDALE MN, LLC
Clinic/Center (Dental)
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (763) 712-3214
MATTHEW ANG
Dentist (General Practice)
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (414) 288-6790
DR. AAKEEB AMIN DDS
Dentist (General Practice)
4080 W BROADWAY AVE STE 300
ROBBINSDALE, MN 55422
Hennepin County (763) 712-3214

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 Jessica Deforrest's NPI number?

The NPI number for Jessica Deforrest is 1508133190. It was assigned to this individual provider in the NPPES registry on November 26, 2011.

Where is Jessica Deforrest located?

Jessica Deforrest practices at 4080 W Broadway Ave Ste 300, Robbinsdale, MN 55422. The listed phone number is (651) 231-8379.

What is Jessica Deforrest'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 Jessica Deforrest was last updated on November 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.