JORDAN DAVID MOORE MS, ATC, LAT, CSCS
NPI 1134767312
Specialist/Technologist - Athletic Trainer in Wellesley, MA

Active since December 18, 2019
BOSTON SPORTS INSTITUTE, 900 WORCESTER ST, WELLESLEY, MA 02482(781) 489-5088 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About JORDAN MOORE

This page provides the complete NPI Profile along with additional information for Jordan Moore, a provider established in Wellesley, Massachusetts with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1134767312 assigned on December 2019. The practitioner's primary taxonomy code is 2255A2300X with license number 3006 (MA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1134767312 Verify this NPI
Provider Name
JORDAN DAVID MOORE MS, ATC, LAT, CSCS
Gender
Male
Entity Type
Individual
Location Address
BOSTON SPORTS INSTITUTE 900 WORCESTER ST WELLESLEY, MA 02482
Location Phone
(781) 489-5088
Mailing Address
BOSTON SPORTS INSTITUTE 900 WORCESTER ST WELLESLEY, MA 02482
Mailing Phone
(781) 489-5088
Is Sole Proprietor?
No
Enumeration Date
12-18-2019
Last Update Date
12-18-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
3006
License State
MA
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134767312, enumerated as an "individual" on December 18, 2019.

The provider is located at BOSTON SPORTS INSTITUTE 900 WORCESTER ST WELLESLEY, MA 02482 and the phone number is (781) 489-5088.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.