Janelle Moore, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

70011977 Issued in IL

Practice address

548 E Washington St
Millstadt, IL 62260-1283

Phone

(618) 476-9444

NPI assigned

May 25, 2006

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic and Therapeutic Institute of Bourbonnais, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1861503542
  NPD
• FLS Physical Therapy Associates PC

  dba Monroe Physical Therapy & Sports Medicine

  • Physical Therapy Clinic/Center
  • Columbia, IL
  • NPI 1669432522

  Physical Therapist

  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1790731404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 E WASHINGTON ST",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622601283",
            "telephone_number": "618-476-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4418 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Oakville",
            "state": "MO",
            "postal_code": "631293316",
            "country_code": "US",
            "telephone_number": "314-894-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000146676",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70011977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millstadt Ambulance Service
• Millstadt CCSD 160
• Millstadt Family Chiropractic, PC
• Millstadt Pharmacy
• Lauren Elizabeth Milton, OTD, OTR/L
• Crystal Michelle O'Donnell, D.T.
• Kathleen Oliver, PTA
• Caralyn Hayley Pentland, PHARMD
• Amy Perez
• Positive Behavior Solutions, LLC

• Physical Therapist in Millstadt, IL
• Providers in Millstadt, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.