MR. NATHANAEL ROBERT MOORE (NPI# 1306079918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306079918 |
| Entity Type | Individual |
| Full Name | MR. NATHANAEL ROBERT MOORE |
| Credential | ATC |
| Practice Address |
118 Tory Cir Enola PA 17025-2678 |
| Practice Telephone | 7179196358 |
| Mailing Telephone | 7179196358 |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871965467 | Nathanael Moore | Occupational Therapist | 665 Robinwood Dr Apt C, Pittsburgh, PA 15216-1074 | 2015-10-22 |
| 1942769955 | Nathanael David Moore | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2019-03-19 |
| Street Address |
118 TORY CIR |
| City | ENOLA |
| State | PA |
| Zip Code | 17025-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029658 | Penn State Health Hampden Medical Center | General Acute Care Hospital | 2200 Good Hope Road, Enola, PA 17025 | 2020-10-07 |
| 1326652009 | Keystone Hearing Center | Audiologist-Hearing Aid Fitter | 6891 Werzville Rd, Enola, PA 17025 | 2020-09-01 |
| 1316459480 | Joseph Franklin Thomas | Family Medicine | 1830 Good Hope Road, Enola, PA 17025 | 2017-10-30 |
| 1326312554 | Michele Barton | Occupational Therapy Assistant | 827 South Humer Street, Enola, PA 17025 | 2012-03-06 |
| 1477725232 | Christopher Peter Collins | Nurse Practitioner | 4510 Marketplace Way, Enola, PA 17025 | 2008-04-01 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| 1407814726 | Timothy A Clark | Internal Medicine | 2250 Millennium Way, Ste 400, Enola, PA 17025 | 2006-05-03 |
| 1093770695 | Michael Gerard Bennese | Chiropractor | 30 East Shady Lane, Enola, PA 17025 | 2006-04-18 |
| 1851760011 | Mounika Sankaramaddi | Internal Medicine | 310 E Penn Dr, Enola, PA 17025 | 2015-09-17 |
| 1184016719 | Ashad Shahid Syed | Internal Medicine | 1830 Good Hope Rd, Enola, PA 17025 | 2015-02-18 |
| Find all providers in zip 17025 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. NATHANAEL ROBERT MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.