Jordan Knoll, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

17783 W Braewick Rd
Gurnee, IL 60031-4597

Phone

(262) 960-0307

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordan Vasquez Knoll Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1386100097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 N AUGUSTA DR",
            "city": "WADSWORTH",
            "state": "IL",
            "postal_code": "600838904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17783 W BRAEWICK RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314597",
            "telephone_number": "262-960-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "JORDAN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "VASQUEZ KNOLL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rene Louise Kirklin
• Philip C. Kirschbaum, LCSW
• Lisa Klaber
• Lynn M Klatt, LPT
• Elizabeth Virginia Knesley, OTR/L
• Alison B Koehler, LCPC
• Jasmine Koonce
• Melissa Susan Kostial-Janos, LCSW, ACSW
• Gina Michele Kozar
• Jason Scott Kramer, M.D.

• Athletic Trainer in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.