NPI 1013427434

Jason Moffitt, ATC

Practitioner Athletic Trainer Indianapolis, IN

Practice location

Address: 1081 Broad Ripple Ave, Indianapolis, IN 46220-2034
Phone: (317) 808-0350
Fax: (317) 808-0349
Mailing address: 33900 Harper Ave STE 104, Clinton Twp, MI 48035-4258

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36001400A (IN)

Other Specialist/Technologist providers in Indiana →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06004555A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1013427434
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2017
Record last updated: 4 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.