Kelly Ann Moore, PT,DPT
NPI 1467764084ActiveIndividual· Physical Therapist, Orthopedic· Park Ridge, IL
Physical Therapist, Orthopedic (PT,DPT) with Cloudline Physical Therapy LLC, practicing in Park Ridge, Illinois. Medicare paid $30,814 for services to 34 patients in 2024.
Overview
| NPI | 1467764084 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT,DPT |
| Sole proprietor | Yes |
| NPI issued | Jul 12, 2010 |
| Last updated in NPPES | Jul 12, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 070.011258 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL); Practitioner - Physical Therapist in Private Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 1,557 across 8 procedure codes |
| Paid by Medicare | $30,814 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Cloudline Physical Therapy LLCPhiladelphia, PA · 27 clinicians
Other orthopedic physical therapists in Park Ridge
- 1700046315
- 1124330709
- 1477873149
- 1174834113
- 1831078138