Kelly Ann Moore, PT,DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070.011258 Issued in IL

Practice address

1875 W Dempster St Ste G10
Park Ridge, IL 60068-1100

Phone

(847) 723-7500

NPI assigned

Jul 12, 2010

Sex

Female

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

Enrolled in IL, PA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cloudline Physical Therapy LLCGroup PAC ID 6305266222, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.43 of 100Reported as group

Quality

92.42

Improvement activities

40

Cost

72.83

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cloudline Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1457968448

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Illinois Luna Care Physical Therapy LLC

  • Physical Therapist
  • Naperville, IL
  • NPI 1033755566
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1467764084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W TOUHY AVE APT 103",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER ST STE G10",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681100",
            "telephone_number": "847-723-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.011258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Garrett Money, D.O.
• Monica Argumedo, MD, PLLC
• Gerald Andrew Monk, D.C.
• Victoria Montgomery, D.O.
• Dennis Michael Moore, MD
• Kevin Patrick Moore, D.C.
• Scott Richard Moore, D.O.
• Jadav M Moradia, M.D.
• Christine Moran, PA-C
• Ashley Marie Mores, PA-C

• Orthopedic Physical Therapist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.

Verify at the official NPI Registry.