Reform Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REFORM PHYSICAL THERAPY PLLC

Practice address

332 Ridge Rd
Wilmette, IL 60091-3218

Phone

(224) 307-4474

Fax

(949) 222-6501

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Megan Yoder Moore, DPTNPI 1275295743

Title

Owner/Founder

Phone

(224) 307-4474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Yoder Moore, DPT

  • Physical Therapist
  • Wilmette, IL
  • NPI 1275295743
  Medicare reassignment NPD Authorized official
• Erin L Corrado, PT, DPT

  • Physical Therapist
  • Wilmette, IL
  • NPI 1861227761
  NPD

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1992456750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913218",
            "telephone_number": "224-307-4474",
            "fax_number": "949-222-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913218",
            "telephone_number": "224-307-4474",
            "fax_number": "949-222-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "YODER",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "224-307-4474",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Quijano
• Aleksandar Radovic, MD
• Sherri Lynn Ramsey, LCP
• Michael Reavy
• Sydney K Reed, LCSW
• Jennifer Reiner, RDN
• Resurrection Services
• Resurrection Services
• Claire Odonnell Revord, LSW
• Loveline Dulay Reyes, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.