John Leroy Moyer Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT000283A Issued in PA

Practice address

2601 Grandview Blvd
West Lawn, PA 19609-1324

Phone

(610) 670-0185

Fax

(610) 670-2648

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538183439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 IVY LN",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101528",
            "telephone_number": "610-670-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GRANDVIEW BLVD",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091324",
            "telephone_number": "610-670-0185",
            "fax_number": "610-670-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER JR.",
        "first_name": "JOHN",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000283A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiernan Elizabeth Melograna, ATC
• MHF Enterprises LLC (Comfort Keepers)
• MHF Enterprises, LLC (Comfort Keepers)
• Rick Lee Milen, CPO, PTA
• Ashley Anne Moser, LCSW
• Kyle John Moyer, MS, LAT, ATC
• Ryan Gordon Moyer, DR
• Tina Marie Newcomb, LMT
• Nexstep Inc.
• Robert Eugene Noga, DDS

• Athletic Trainer in West Lawn, PA
• Providers in West Lawn, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.