Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan David Moore, MS, ATC, LAT, CSCS

Individual provider Athletic Trainer · NPI 1134767312

Jordan David Moore, MS, ATC, LAT, CSCS is an Athletic Trainer in Wellesley, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.

Licensed in
MA
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Partly verified

Some contact details are missing from the federal record.

Boston Sports Institute 900 Worcester St
Wellesley, MA 02482
Phone: (781) 489-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3006 (MA)

Record details

NPI number1134767312
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT , CSCS
Sole proprietorNo
NPI enumeratedDecember 18, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019

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