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DR. KELLY ANN MOORE PT,DPT
NPI 1467764084
Physical Therapist - Orthopedic in Park Ridge, IL

Active since July 12, 2010Accepts Medicare Assignment
1875 W DEMPSTER ST STE G10, PARK RIDGE, IL 60068(847) 723-7500 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kelly Ann Moore Pt,dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY ANN MOORE PT,DPT (NPI 1467764084) is an individual orthopedic provider in Park Ridge, Illinois, licensed in Illinois (070.011258) and active in the NPI registry since July 2010. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1467764084
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameDR. KELLY ANN MOORECredential: PT,DPT
Location Address1875 W DEMPSTER ST STE G10Park Ridge, IL 60068-1100
Mailing Address1333 W Touhy Ave Apt 103Park Ridge, IL 60068-3164
Phone(847) 723-7500
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 12, 2010
✔ NPI 1467764084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in IL · 070.011258
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1875 W DEMPSTER ST STE G10, Park Ridge, IL 60068
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Ann Moore Pt,dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204247232
PECOS Enrollment IDI20251201001723

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Illinois Luna Care Physical Therapy LLC
23 mi
Physical Therapist
1755 PARK ST STE 200
Naperville, IL 60563
  • Reassigned Medicare billing, Illinois enrollment
  • 179 clinicians in this Medicare group
NPI 1033755566 (866) 525-3175
Cloudline Physical Therapy LLC
678 mi
Physical Therapist
239-241 SOUTH 10TH ST
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 32 clinicians in this Medicare group
NPI 1457968448 (484) 393-5047

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
768 services31 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
546 services32 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
104 services14 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
81 services11 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
17 services16 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
14 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1467764084. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Kelly Moore located?

Kelly Moore practices at 1875 W Dempster St Ste G10, Park Ridge, IL 60068. The listed phone number is (847) 723-7500.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kelly Moore enrolled in Medicare?

Yes. Kelly Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Moore reassigns Medicare benefits to 2 organizations: Illinois Luna Care Physical Therapy LLC (Naperville, IL) and Cloudline Physical Therapy LLC (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.