Jordan Costello
NPI 1962017947ActiveIndividual· Specialist/Technologist, Athletic Trainer· Phoenix, AZ
Specialist/Technologist, Athletic Trainer in Phoenix, Arizona, licensed in AZ, with an NPI issued in September 2020.
Overview
| NPI | 1962017947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 15, 2020 |
| Last updated in NPPES | Jul 8, 2022 |
| Certified by provider | Jul 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | ATR-009421 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other athletic trainers in Phoenix
- 1548947872
- 1639211519
- 1649886219
- 1407613946
- 1760948921
- 1447038609
- 1689182628
- 1164799193
- 1811401169
- 1407490113
- 1831391697
- 1255970059
All 144 athletic trainers in Phoenix · All athletic trainers in Arizona