1. Home
  2. Directory
  3. Florida
  4. Melbourne
  5. Specialist Technologist
  6. NPI Profile

ETHAN ANDREW MOONEY ATC
NPI 1790466969
Specialist/Technologist - Athletic Trainer in Melbourne, FL

Active since July 31, 2023
3320 DAIRY RD, MELBOURNE, FL 32904(321) 745-0579 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Andrew Mooney Atc NPPES

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

ETHAN ANDREW MOONEY ATC (NPI 1790466969) is an individual athletic trainer provider in Melbourne, Florida, licensed in Florida (7000) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1790466969
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameETHAN ANDREW MOONEYCredential: ATC
Location Address3320 DAIRY RDMelbourne, FL 32904-7604
Mailing Address3320 Dairy RdMelbourne, FL 32904-7604 · (321) 745-0579
Phone(321) 745-0579
Sole ProprietorNo
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1790466969 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 FL · 7000
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.
3320 DAIRY RD, Melbourne, FL 32904
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 Ethan Mooney's NPI number?

The NPI number for Ethan Mooney is 1790466969. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Ethan Mooney located?

Ethan Mooney practices at 3320 Dairy Rd, Melbourne, FL 32904. The listed phone number is (321) 745-0579.

What is Ethan Mooney'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 Ethan Mooney was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.