Jordan Shimoda, ATC
Specialist/Technologist, Athletic Trainer in Foxborough, Massachusetts
1134785728- Practice location
- 1 Patriot Pl, Foxborough, MA 02035-1374
- Phone
- 808-387-9375
- Fax
- —
- Last updated
- May 20, 2019
Jordan Shimoda is a Specialist/Technologist, Athletic Trainer based in Foxborough, MA. Jordan Shimoda practices in Foxborough, MA and has the professional credentials of ATC. The NPI Number for Jordan Shimoda is 1134785728 and holds a License No. 2150 (AL). The current practice location address for Jordan Shimoda is 1 Patriot Pl, Foxborough, MA 02035-1374 and can be reached out via phone at 808-387-9375.
Provider Profile Details
- NPI Number
- 1134785728
- Provider Name
- Jordan Shimoda
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Patriot Pl, Foxborough, MA 02035-1374
- Phone Number
- 808-387-9375
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 20, 2019
- Last Update Date
- May 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Patriot Pl
Foxborough, MA 02035-1374 - City
- Foxborough
- State
- Massachusetts
- Zip
- 02035-1374
- Phone Number
- 808-387-9375
Provider Business Mailing Address Details
- Address
- 85 Washington St Apt 7301
Plainville, MA 02762-5212 - City
- Plainville
- State
- MA
- Zip
- 02762-5212
License Information
- License Number (1)
- 2150
- License State (1)
- AL
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 2000032108
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Foxborough, MA
View all Specialist/Technologist, Athletic Trainers in Foxborough →- Cale Jacobs, ATCSpecialist/Technologist, Athletic Trainer · NPI 1396689618
- Cristin DryerSpecialist/Technologist, Athletic Trainer · NPI 1750791265
- Ken HarveySpecialist/Technologist, Athletic Trainer · NPI 1154073450
- Kevin Richard, ATCSpecialist/Technologist, Athletic Trainer · NPI 1154903391
- Matthew KirkpatrickSpecialist/Technologist, Athletic Trainer · NPI 1164186342
- Mr. David Granito, MS, ATCSpecialist/Technologist, Athletic Trainer · NPI 1891035713
Frequently Asked Questions
What is the NPI number of Jordan Shimoda, ATC?
The NPI number of Jordan Shimoda, ATC is 1134785728. It was assigned on May 20, 2019 and is currently active in the NPPES registry.
What is the specialty of Jordan Shimoda, ATC?
Jordan Shimoda, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in AL under license number 2150.
Where does Jordan Shimoda, ATC practice?
The practice location is 1 Patriot Pl, Foxborough, MA 02035-1374. The office can be reached at 808-387-9375 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134785728 directly on the NPPES registry website.