Michael Lee Moore, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT 000110 Issued in OH

Practice address

5445 Hokel LN
Cincinnati, OH 45230-1137

Phone

(513) 623-7799

NPI assigned

Jul 31, 2013

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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1851723936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 HOKEL LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452301137",
            "telephone_number": "513-623-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 HOKEL LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452301137",
            "telephone_number": "513-623-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT 000110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Henry Moore
• Marcia Moore
• Mary Moore, LPCC/LICDC
• Matthew Dean Moore, MD, DRPH, MPH
• Melissa Moore
• Mikaela Danielle Moore, MD
• Morgan Moore
• Nancy L Moore, LISW-S, LCSW
• Nathanael David Moore, MD
• Nicolle T. Moore, IMFT

• Athletic Trainer in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.