Graziella G Mora, B.S., ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 3186 Issued in FL

Practice address

500 NW Peacock Blvd
Suite 103-104
Port St Lucie, FL 34986-2366

Phone

(772) 646-4899

Fax

(772) 646-4197

NPI assigned

Sep 27, 2011

Sex

Female

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

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JJWP LLC

  • Physical Therapy Clinic/Center
  • Port St Lucie, FL
  • NPI 1407730914
  NPD Authorized official

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1821371667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 SW WATERWAY LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871913",
            "telephone_number": "407-489-5614",
            "fax_number": "407-992-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW PEACOCK BLVD",
            "address_2": "SUITE 103-104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862366",
            "telephone_number": "772-646-4899",
            "fax_number": "772-646-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "GRAZIELLA",
        "middle_name": "G",
        "credential": "B.S., ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 3186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene K Moore, PA-C
• Charles Moore
• Claudia Marlene Moore, OTA
• Jessica Moore
• Neldy Mor, RBT-25-430247
• Alan Morales
• Ashley Morales
• Rhonda Bryant Morales, M.S CCC-SLP
• Morazan Ventures LLC
• Joshua Morazan, RN

• Athletic Trainer in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.