Jordan E Basinger

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT006252 Issued in OH

Practice address

303 S Otterbein Ave
Westerville, OH 43081-2333

Phone

(937) 751-4348

NPI assigned

Nov 13, 2017

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1568975530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SELMA JAMESTOWN RD.",
            "city": "CEDARVILLE",
            "state": "OH",
            "postal_code": "45314",
            "telephone_number": "937-751-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S OTTERBEIN AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812333",
            "telephone_number": "937-751-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINGER",
        "first_name": "JORDAN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeanne Barton, PT
• Tawnya Barton, RN
• Laura Mattiello Bartsch, LISW
• Mehmet Basaran, MD
• Erika L Basil, DO
• Lindsey Basista
• Samantha Bates
• Bradi Batt
• Allison Battaglia, PH.D
• Heather Anne Battles, MD

• Athletic Trainer in Westerville, OH
• Providers in Westerville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.