Jason L Moore, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15846 Issued in OH

Practice address

1920 Springville Rd
Wooster, OH 44691-9729

Phone

(330) 845-2273

Fax

(330) 202-7791

NPI assigned

Mar 20, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1497020721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S MARKET ST",
            "address_2": "SUITE 203",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914765",
            "telephone_number": "330-845-2273",
            "fax_number": "330-202-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SPRINGVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919729",
            "telephone_number": "330-845-2273",
            "fax_number": "330-202-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JASON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "15846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Chiropractic & Wellness of Wooster, Inc.
• Amber Moore
• Dane Ellis Moore, ATC, LAT
• Demetri J Moore
• Hayden C Moore, LSW
• Mariah Elizabeth Moore, LSW
• Marty Jacob Moore, D.C.
• Rachel Lindsay Moore, QMHS
• Shameaca Moore
• Alyssa Katherine Morales

• Massage Therapist in Wooster, OH
• Providers in Wooster, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.