MR. JORDAN DREW BETTLEYON MS, LAT, ATC, EP-C - NPI 1841784170 - Physical Medicine & Rehabilitation in Fayetteville, NC

Q: What is Jordan Bettleyon's NPI number?

The NPI number for Jordan Bettleyon is 1841784170. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Jordan Bettleyon's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Bettleyon was last updated on August 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Jordan Drew Bettleyon Ms, Lat, Atc, Ep-c NPPES

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

MR. JORDAN DREW BETTLEYON MS, LAT, ATC, EP-C (NPI 1841784170) is an individual sports medicine provider in Fayetteville, North Carolina, licensed in North Carolina (3994) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1841784170

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameMR. JORDAN DREW BETTLEYONCredential: MS, LAT, ATC, EP-C

Location Address5400 RAMSEY STFayetteville, NC 28311

Mailing Address408 Tartan CtFayetteville, NC 28311-1694 · (570) 274-6387

Phone(910) 630-7000

Sole ProprietorYes

Enumeration DateJune 20, 2018

Last NPPES UpdateAugust 8, 20183 updates tracked since enumeration

✔ NPI 1841784170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

Licenses✔ Licensed in NC · 3994✔ Licensed in PA · RTO000311✔ Licensed in NY · 003597

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

5400 RAMSEY ST, Fayetteville, NC 28311

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Other Providers at the Same Location NPPES 13

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

MR. HUGH WHITMAN HARLING III EDD, LAT, ATC

Specialist/Technologist (Athletic Trainer)