1. Home
  2. Directory
  3. Massachusetts
  4. Wellesley
  5. Specialist Technologist
  6. NPI Profile

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: August 16, 2026.

About Jordan David Moore Ms, Atc, Lat, Cscs NPPES

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

JORDAN DAVID MOORE MS, ATC, LAT, CSCS (NPI 1134767312) is an individual athletic trainer provider in Wellesley, Massachusetts, licensed in Massachusetts (3006) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1134767312
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJORDAN DAVID MOORECredential: MS, ATC, LAT, CSCS
Location AddressBOSTON SPORTS INSTITUTE, 900 WORCESTER STWellesley, MA 02482
Mailing AddressBoston Sports Institute, 900 Worcester StWellesley, MA 02482 · (781) 489-5088
Phone(781) 489-5088
Sole ProprietorNo
Enumeration DateDecember 18, 2019
✔ NPI 1134767312 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
License✔ Licensed in MA · 3006
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.
BOSTON SPORTS INSTITUTE, Wellesley, MA 02482
Open in Google Maps ↗

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 Jordan Moore's NPI number?

The NPI number for Jordan Moore is 1134767312. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Jordan Moore located?

Jordan Moore practices at Boston Sports Institute 900 Worcester St, Wellesley, MA 02482. The listed phone number is (781) 489-5088.

What is Jordan 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 Jordan Moore was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.