Matthew Alexander Jordan, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003611 Issued in VA

Practice address

20041 Riverside Commons PLZ
Ashburn, VA 20147-5151

Phone

(703) 466-0447

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1215711759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9682 CEDAR FARM CIR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315404",
            "telephone_number": "571-414-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20041 RIVERSIDE COMMONS PLZ",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475151",
            "telephone_number": "703-466-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201102201",
            "country_code": "US",
            "telephone_number": "571-414-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjorda@masonlive.gmu.edu",
            "affiliation": "N",
            "address_1": "6337 Blue Heron Ln",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201874383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isabel T Jones
• Jessica L Jones, DPT
• Kristen Dorsey Jones, M.A. CCC-SLP
• Sarah Elizabeth Jones, ATC
• Enyonam Jordan-Brangman, NP
• Rebekah Hannay Jordan
• Jorge R. Rios, Inc.
• Shannon Mylene Joseph
• Jon J Judy, CSFA
• Sophie Juola, LPC

• Athletic Trainer in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.