Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Ellis

Individual provider Athletic Trainer · NPI 1891239901

Jordan Ellis is an Athletic Trainer in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

5814 S 105th St
Omaha, NE 68127-2909
Phone: (402) 321-6867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1891239901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 8, 2016
Last updated in NPPESDecember 8, 2016
Mailing address5814 S 105th St, Omaha, NE 68127-2909

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