Jesse Moore, DPT, MBA
NPI 1043555410ActiveIndividual· Physical Therapist· Glen Carbon, IL
Physical Therapist (DPT, MBA) with Ap Therapy LLC, practicing in Glen Carbon, Illinois. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1043555410 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, MBA |
| Sole proprietor | No |
| NPI issued | Dec 11, 2012 |
| Last updated in NPPES | Dec 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070018656 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (FL) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ap Therapy LLCLake Placid, FL · 50 clinicians
Other Physical Therapist providers in Glen Carbon
- 1144504754
- 1942359872
- 1508874892
- 1336832138
- 1013857663
- 1891811071
- 1265448799
- 1245896836
- 1013500107
- 1962537530
- 1275634446
- 1407861065