Active NPI
John Robert Moynihan, DPT
- Physical Therapist
- Palatine, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.028378
- Practice address
- 315 E Northwest Hwy
Palatine, IL 60067-8116 - Phone
- (847) 701-1930
- Fax
- (847) 701-1931
- NPI assigned
- Jun 9, 2023
- Last updated
- Jul 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.028378 | IL | Primary |
| Physical Therapist | 225100000X | 16291-24 | WI |
Addresses
Primary practice location
315 E Northwest Hwy
Palatine, IL 60067-8116
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other practice location 1
621 Science Dr
Madison, WI 53711-1074
Phone (608) 265-8303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 E Northwest Hwy
Palatine, IL 60067-8116
Phone (847) 701-1930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.028378 | IL | MD | Physical Therapist |
| 16291-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
3973 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 348-7600
10801 S Western Ave
Chicago, IL 60643
Phone (773) 445-4200
315 E Northwest Hwy
Palatine, IL 60067
Phone (847) 701-1930
9 N 2nd St
St Charles, IL 60174
Phone (630) 526-4200
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1295419497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E NORTHWEST HWY",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678116",
"telephone_number": "847-701-1930",
"fax_number": "847-701-1931"
}
],
"practiceLocations": [
{
"address_1": "621 Science Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537111074",
"country_code": "US",
"telephone_number": "608-265-8303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOYNIHAN",
"first_name": "JOHN",
"middle_name": "ROBERT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.028378",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16291-24",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.