IndividualActive
Jenna Moore
NPI 1285996579 · Athletic Trainer · Buffalo Grove, IL
Provider details
- NPI number
- 1285996579
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 096-003230 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1450 Busch Pkwy
Suite 115a
Buffalo Grove, IL 60089-4541
Phone: (224) 676-7920
Street-level locationGet directions
Mailing address
8930 Waukegan Rd
Morton Grove, IL 60053-2126
Registry dates
- Enumerated
- 2012-06-12
- Last updated
- 2012-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.