JERICA MOORE MA, ATC
NPI 1174014450
Specialist/Technologist - Athletic Trainer in Johnson City, TN

Active since May 23, 2018
1041 HAMILTION PLACE DR., JOHNSON CITY, TN 37604(423) 707-2509 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerica Moore Ma, Atc NPPES

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

JERICA MOORE MA, ATC (NPI 1174014450) is an individual athletic trainer provider in Johnson City, Tennessee, licensed in Tennessee (2009) and active in the NPI registry since May 2018. She maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1174014450
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJERICA MOORECredential: MA, ATC
Location Address1041 HAMILTION PLACE DR.Johnson City, TN 37604
Mailing Address421 Highland Ave Apt BJohnson City, TN 37604-6847 · (863) 381-8342
Sole ProprietorYes
Enumeration DateMay 23, 2018
NPI 1174014450 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 TN · 2009
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.

1041 HAMILTION PLACE DR., Johnson City, TN 37604

Secondary Practice Location 1

Location 13314 Wayfield Dr Ste 3Johnson City, TN 37601-1907 · Phone (863) 381-8342

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 Jerica Moore's NPI number?

The NPI number for Jerica Moore is 1174014450. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Jerica Moore located?

Jerica Moore practices at 1041 Hamiltion Place Dr., Johnson City, TN 37604. The listed phone number is (423) 707-2509.

What is Jerica 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 Jerica Moore was last updated on May 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.