IndividualActive
Matt Jordan
NPI 1053717355 · Athletic Trainer · Minneapolis, MN
Provider details
- NPI number
- 1053717355
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2457 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3112 Humboldt Ave S
Apartment 4
Minneapolis, MN 55408-2683
Phone: (612) 508-4967
Street-level locationGet directions
Mailing address
3112 Humboldt Ave S
Minneapolis, MN 55408-2683
Registry dates
- Enumerated
- 2014-11-13
- Last updated
- 2014-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.