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JORDAN COSTELLO
NPI 1962017947
Specialist/Technologist - Athletic Trainer in Phoenix, AZ

Active since September 15, 2020
4201 E KNOX RD, PHOENIX, AZ 85044(480) 759-8449 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2022, Sep 15, 2020 (2 updates tracked since 2020).

About Jordan Costello NPPES

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

JORDAN COSTELLO (NPI 1962017947) is an individual athletic trainer provider in Phoenix, Arizona, licensed in Arizona (ATR-009421) and active in the NPI registry since September 2020. She maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1962017947
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJORDAN COSTELLO
Location Address4201 E KNOX RDPhoenix, AZ 85044-4701
Mailing Address490 E Appaloosa RdGilbert, AZ 85296-2959 · (480) 290-8269
Phone(480) 759-8449
Sole ProprietorNo
Enumeration DateSeptember 15, 2020
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1962017947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in AZ · ATR-009421
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4201 E KNOX RD, Phoenix, AZ 85044
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Secondary Practice Location 1

Location 110045 E Madero AveMesa, AZ 85209-1399 · Phone (480) 290-8269

Other Providers at the Same Location NPPES 3

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

THE TALENT FARM RECRUITING LLC
Respite Care (Respite Care Camp)
4201 E KNOX RD
PHOENIX, AZ 85044
Maricopa County (520) 280-7325
VIRGINIA SUE WALKER LPN
Licensed Practical Nurse
4201 E KNOX RD
PHOENIX, AZ 85044
Maricopa County (480) 388-8911
MS. TAMAR SPART RN
Registered Nurse (School)
4201 E KNOX RD
PHOENIX, AZ 85044
Maricopa County (480) 759-6125

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 Costello's NPI number?

The NPI number for Jordan Costello is 1962017947. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Jordan Costello located?

Jordan Costello practices at 4201 E Knox Rd, Phoenix, AZ 85044. The listed phone number is (480) 759-8449.

What is Jordan Costello'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 Costello was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.