JACEN MOORE ATC
NPI 1962910158
Specialist/Technologist - Athletic Trainer in Gilbert, AZ

Q: What is Jacen Moore's NPI number?

The NPI number for Jacen Moore is 1962910158. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Q: What is Jacen 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 Jacen Moore was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 January 22, 2018

1166 E WARNER RD STE 101, GILBERT, AZ 85296(480) 415-4214(480) 415-4214 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacen Moore Atc NPPES

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

JACEN MOORE ATC (NPI 1962910158) is an individual athletic trainer provider in Gilbert, Arizona, licensed in Arizona (1534) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1962910158

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJACEN MOORECredential: ATC

Location Address1166 E WARNER RD STE 101Gilbert, AZ 85296-3065

Mailing Address610 E Roosevelt St Unit 142Phoenix, AZ 85004-1983

Phone(480) 415-4214

Fax(480) 415-4214

Sole ProprietorYes

Enumeration DateJanuary 22, 2018

✔ NPI 1962910158 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 AZ · 1534

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.

1166 E WARNER RD STE 101, Gilbert, AZ 85296

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Other Providers at the Same Location NPPES 7

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

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