Jordan Light
NPI 1114305620 · Athletic Trainer · Wilmore, KY
Jordan Light is a Athletic Trainer provider in Wilmore, KY (NPI 1114305620).
Provider details
- NPI number
- 1114305620
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AT1174 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2015-05-16
- Last updated
- 2015-05-16
Frequently asked questions
- What is Jordan Light's NPI number?
- Jordan Light's National Provider Identifier (NPI) is 1114305620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Light's specialty?
- Jordan Light is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jordan Light located?
- Jordan Light's practice location on file with NPPES is 1 Macklem Dr, Wilmore, KY 40390-1152.
- What is Jordan Light's phone number?
- The practice phone number listed in the NPPES registry for Jordan Light is (360) 773-0106.
- Is Jordan Light's NPI active?
- Yes — Jordan Light's NPI (1114305620) is active in the NPPES registry as of the last update on 2015-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.