NATHANIEL JAMES ROBERT MOORE
NPI 1104407451
Specialist/Technologist - Athletic Trainer in Apple Valley, MN

Q: What is Nathaniel Moore's NPI number?

The NPI number for Nathaniel Moore is 1104407451. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Nathaniel Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Moore was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2021

15957 FIRTREE DR, APPLE VALLEY, MN 55124(612) 558-4112 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nathaniel James Robert Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL JAMES ROBERT MOORE (NPI 1104407451) is an individual athletic trainer provider in Apple Valley, Minnesota and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1104407451

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameNATHANIEL JAMES ROBERT MOORE

Location Address15957 FIRTREE DRApple Valley, MN 55124-5834

Mailing Address15957 Firtree DrApple Valley, MN 55124-5834 · (612) 558-4112

Phone(612) 558-4112

Sole ProprietorYes

Enumeration DateApril 19, 2021

NPPES CertifiedApril 19, 2021

✔ NPI 1104407451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

15957 FIRTREE DR, Apple Valley, MN 55124

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Moore's NPI number?

The NPI number for Nathaniel Moore is 1104407451. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Nathaniel Moore located?

Nathaniel Moore practices at 15957 Firtree Dr, Apple Valley, MN 55124. The listed phone number is (612) 558-4112.

What is Nathaniel Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Nathaniel Moore was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.