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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. THADDEUS L MOORE JR.
NPI 1265425839
Specialist/Technologist - Athletic Trainer in Chestertown, MD

Active since August 29, 2005
300 WASHINGTON AVE, CHESTERTOWN, MD 21620(410) 778-7243(410) 778-7741 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thaddeus L Moore Jr. NPPES

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

MR. THADDEUS L MOORE JR. (NPI 1265425839) is an individual athletic trainer provider in Chestertown, Maryland and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1265425839
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. THADDEUS L MOORE JR.
Location Address300 WASHINGTON AVEChestertown, MD 21620-1438
Mailing Address924 Gateway DrChestertown, MD 21620-3325 · (410) 810-3642
Phone(410) 778-7243
Fax(410) 778-7741
Sole ProprietorNo
Enumeration DateAugust 29, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1265425839 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.
300 WASHINGTON AVE, Chestertown, MD 21620
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET JOPP
Nurse Practitioner (Family)
300 WASHINGTON AVE
CHESTERTOWN, MD 21620
Kent County (410) 778-7261
MATHEW J AN MS, ATC
Specialist/Technologist (Athletic Trainer)
300 WASHINGTON AVE, SPORTS MEDICINE
CHESTERTOWN, MD 21620
Kent County (410) 810-7495
CARRIE KERR ATC
Specialist/Technologist (Athletic Trainer)
300 WASHINGTON AVE
CHESTERTOWN, MD 21620
Kent County (410) 810-7495
CAITLIN BUCKLEY
Specialist/Technologist (Athletic Trainer)
300 WASHINGTON AVE
CHESTERTOWN, MD 21620
Kent County (410) 810-5042
JORDAN REDDING LAT, ATC
Specialist/Technologist (Athletic Trainer)
300 WASHINGTON AVE
CHESTERTOWN, MD 21620
Kent County (410) 810-7495

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 Thaddeus Moore's NPI number?

The NPI number for Thaddeus Moore is 1265425839. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Thaddeus Moore located?

Thaddeus Moore practices at 300 Washington Ave, Chestertown, MD 21620. The listed phone number is (410) 778-7243.

What is Thaddeus 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 Thaddeus Moore was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.