JACOB MOORE ATC LAT
NPI 1821512179
Specialist/Technologist - Athletic Trainer in Greenville, NC

Q: What is Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1821512179. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Q: What is Jacob 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 Jacob Moore was last updated on July 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 28, 2017

116 WARD SPORTS MEDICINE BUILDING, GREENVILLE, NC 27858(252) 737-2634(252) 737-1393 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Jacob Moore Atc Lat NPPES

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

JACOB MOORE ATC LAT (NPI 1821512179) is an individual athletic trainer provider in Greenville, North Carolina, licensed in North Carolina (1166) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1821512179

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJACOB MOORECredential: ATC LAT

Location Address116 WARD SPORTS MEDICINE BUILDINGGreenville, NC 27858

Mailing Address316 Prince RdGreenville, NC 27858-4941 · (252) 737-2634 · Fax (252) 737-1393

Phone(252) 737-2634

Fax(252) 737-1393

Sole ProprietorNo

Enumeration DateJuly 28, 2017

✔ NPI 1821512179 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 NC · 1166

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.

116 WARD SPORTS MEDICINE BUILDING, Greenville, NC 27858

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Other Providers at the Same Location NPPES 4

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

LUCY SHAW LAT, ATC

Specialist/Technologist (Athletic Trainer)

116 WARD SPORTS MEDICINE BUILDING
GREENVILLE, NC 27858

Pitt County (828) 713-5417

MR. SCOTT MATTHEW BARRINGER LAT, ATC

Specialist/Technologist (Athletic Trainer)

116 WARD SPORTS MEDICINE BUILDING
GREENVILLE, NC 27858

Pitt County (215) 768-8414

MR. BRIAN WILLIAM WIESE MS, ATC, LAT

Specialist/Technologist (Athletic Trainer)

116 WARD SPORTS MEDICINE BUILDING
GREENVILLE, NC 27858

Pitt County (252) 737-4749

KRISTA CARANO ATC

Specialist/Technologist (Athletic Trainer)

116 WARD SPORTS MEDICINE BUILDING, EAST CAROLINA UNIVERSITY
GREENVILLE, NC 27858

Pitt County (610) 842-0575

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 Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1821512179. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Jacob Moore located?

Jacob Moore practices at 116 Ward Sports Medicine Building, Greenville, NC 27858. The listed phone number is (252) 737-2634.

What is Jacob 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 Jacob Moore was last updated on July 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.