Jordan D Moore, MS, ATC, LAT, CSCS
Specialist/Technologist, Athletic Trainer in Wellesley, Massachusetts
1134767312- Practice location
- Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482
- Phone
- 781-489-5088
- Fax
- —
- Last updated
- December 18, 2019
Jordan David Moore is a Specialist/Technologist, Athletic Trainer based in Wellesley, MA. Jordan David Moore practices in Wellesley, MA and has the professional credentials of MS, ATC, LAT, CSCS. The NPI Number for Jordan David Moore is 1134767312 and holds a License No. 3006 (MA). The current practice location address for Jordan David Moore is Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 and can be reached out via phone at 781-489-5088.
Provider Profile Details
- NPI Number
- 1134767312
- Provider Name
- Jordan David Moore
- Credential
- MS, ATC, LAT, CSCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482
- Phone Number
- 781-489-5088
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 18, 2019
- Last Update Date
- December 18, 2019
- Certification Date
- December 18, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Boston Sports Institute
900 Worcester St
Wellesley, MA 02482 - City
- Wellesley
- State
- Massachusetts
- Zip
- 02482
- Phone Number
- 781-489-5088
Provider Business Mailing Address Details
- Address
- Boston Sports Institute
900 Worcester St
Wellesley, MA 02482 - City
- Wellesley
- State
- MA
- Zip
- 02482
- Phone Number
- 781-489-5088
License Information
- License Number
- 3006
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jordan D Moore, MS, ATC, LAT, CSCS?
The NPI number of Jordan D Moore, MS, ATC, LAT, CSCS is 1134767312. It was assigned on December 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Jordan D Moore, MS, ATC, LAT, CSCS?
Jordan D Moore, MS, ATC, LAT, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3006.
Where does Jordan D Moore, MS, ATC, LAT, CSCS practice?
The practice location is Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482. The office can be reached at 781-489-5088 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134767312 directly on the NPPES registry website.