JORDAN SHIMODA ATC
NPI 1134785728
Specialist/Technologist - Athletic Trainer in Foxborough, MA

NPI Status: Active since May 20, 2019

Contact Information

1 PATRIOT PL
FOXBOROUGH, MA
ZIP 02035
Phone: (808) 387-9375

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JORDAN SHIMODA

This page provides the complete NPI Profile along with additional information for Jordan Shimoda, a provider established in Foxborough, Massachusetts with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1134785728 assigned on May 2019. The practitioner's primary taxonomy code is 2255A2300X with license number 2000032108 (). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1134785728
Provider Name
JORDAN SHIMODA ATC
Gender
Male
Entity Type
Individual
Location Address
1 PATRIOT PL FOXBOROUGH, MA 02035
Location Phone
(808) 387-9375
Mailing Address
85 WASHINGTON ST APT 7301 PLAINVILLE, MA 02762
Is Sole Proprietor?
Yes
Enumeration Date
05-20-2019
Last Update Date
05-20-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2000032108
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

2150 (AL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134785728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641481074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 4 + 8 + 1 + 0 + 7 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1134785728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447467527MR. JOSEPH JENS VAN ALLEN M.S.P.T
Individual
Physical Therapist1 PATRIOT PL
FOXBORO, MA 02035
(508) 384-9109
1891035713MR. DAVID GRANITO MS.,ATC.
Individual
Specialist/Technologist (Athletic Trainer)1 PATRIOT PL
FOXBOROUGH, MA 02035
(508) 384-9158
1700127883MR. JAMES MICHAEL WHALEN ATC
Individual
Specialist/Technologist (Athletic Trainer)1 PATRIOT PL
FOXBORO, MA 02035
(508) 384-9113
1922405299 EVAN ALLEN
Individual
Specialist/Technologist (Athletic Trainer)1 PATRIOT PL
FOXBORO, MA 02035
(517) 425-9265
1881203164 RIAN HEALY ATC
Individual
Specialist/Technologist (Athletic Trainer)1 PATRIOT PL
FOXBOROUGH, MA 02035
(508) 543-8200
1306410618 SAMANTHA COUTURE RD
Individual
Dietitian, Registered (Nutrition, Sports Dietetics)1 PATRIOT PL
FOXBOROUGH, MA 02035
(508) 543-8200
1992156681MR. MATTHEW FULLER
Individual
Physician Assistant1 PATRIOT PL
FOXBOROUGH, MA 02035
(508) 404-7602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134785728, enumerated in the NPI registry as an "individual" on May 20, 2019

The provider is located at 1 Patriot Pl Foxborough, Ma 02035 and the phone number is (808) 387-9375

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on May 20, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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