JESSE R MOORE LAT, ATC, LMT
NPI 1235600347
Specialist/Technologist - Athletic Trainer in Indianapolis, IN

Q: What is Jesse Moore's NPI number?

The NPI number for Jesse Moore is 1235600347. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Jesse 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 Jesse Moore was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 16, 2018

8111 S EMERSON AVE, INDIANAPOLIS, IN 46237(317) 528-5000 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jesse R Moore Lat, Atc, Lmt NPPES

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

JESSE R MOORE LAT, ATC, LMT (NPI 1235600347) is an individual athletic trainer provider in Indianapolis, Indiana, licensed in Indiana (36003079A) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1235600347

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJESSE R MOORECredential: LAT, ATC, LMT

Location Address8111 S EMERSON AVEIndianapolis, IN 46237-8601

Mailing Address8237 Lenox Ln Apt AIndianapolis, IN 46268-4628 · (317) 417-7597

Phone(317) 528-5000

Sole ProprietorNo

Enumeration DateDecember 16, 2018

✔ NPI 1235600347 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 IN · 36003079A

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.

8111 S EMERSON AVE, Indianapolis, IN 46237

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