Active NPI
Monica J Moore, MPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1295860849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012134
- Practice address
- 5834 W Ohio St
Chicago, IL 60644-1409 - Phone
- (773) 575-7396
- Fax
- (773) 257-9129
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070012134 | IL | Primary |
Addresses
Primary practice location
5834 W Ohio St
Chicago, IL 60644-1409
Mailing address
5834 W Ohio St
Chicago, IL 60644-1409
Phone (773) 575-7396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070012134 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1295860849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5834 W OHIO ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606441409",
"telephone_number": "773-575-7396",
"fax_number": "773-257-9129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5834 W OHIO ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606441409",
"telephone_number": "773-575-7396",
"fax_number": "773-257-9129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MONICA",
"middle_name": "J",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.