NPPES file of Aug 9, 2026

Jesse Moore, DPT, MBA

Physical Therapist · Glen Carbon, IL

Jesse Moore, DPT, MBA is a physical therapist with a practice address in Glen Carbon, Illinois, and NPI 1043555410, issued on Dec 11, 2012. Check the license (Illinois 070018656, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1043555410
Name
Jesse Moore
Credential
DPT, MBA
Primary taxonomy
Physical Therapist 225100000X
License number
070018656 IL
Self-reported in NPPES; status is on the state search
Practice location
3008 Huntsville Dr, Glen Carbon, IL 62034
Phone
(317) 691-6262
Enumerated
Dec 11, 2012
Record last updated
Dec 11, 2012 (not updated in 14 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20251014001193); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Jesse Moore in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 070018656
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. AP Therapy LLCJacksonville, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jesse Moore among 12,045 physical therapist records in Illinois

Jesse Moore, DPT, MBA is one of 12,045 physical therapist records with a practice address in Illinois. 36% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 42% of them.

  • NPI issued2012 · 42% of these records are older, 51% newer
  • In a Medicare fileYes · 36% of these records are
  • In the CMS Doctors and Clinicians fileYes · 37% of these records are
  • Graduated2007 · median 2015 among the 4,392 with a school on file
  • Record last updated2012 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

15 physical therapist records list a practice address in Glen Carbon

They are 15 of the 379 NPPES records with a practice address in Glen Carbon, and 12,045 physical therapist records in Illinois.

The 8 physical therapist records with the nearest ZIP codes

  1. Moira Barone, PT, ATCGlen Carbon, IL 620341508874892
  2. Ashley Burgess, PT, DPTGlen Carbon, IL 620341336832138
  3. David Elliff, PTGlen Carbon, IL 620341891811071
  4. Kelli Evans, MSRPTGlen Carbon, IL 620341265448799
  5. Ashley Lack, MPTGlen Carbon, IL 620341245896836
  6. Divya Merchant, PT, DPTGlen Carbon, IL 620341013500107
  7. Kathryn Oland, DPTGlen Carbon, IL 620341962537530
  8. Deanne Perry, MSPTGlen Carbon, IL 620341275634446

Common questions

What is Jesse Moore, DPT, MBA's NPI number?

Jesse Moore, DPT, MBA's National Provider Identifier (NPI) is 1043555410, issued on Dec 11, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Jesse Moore, DPT, MBA located?

The NPPES record lists a practice address at 3008 Huntsville Dr, Glen Carbon, IL, 62034. Phone: (317) 691-6262. Providers update this record themselves, so call before visiting.

How can I verify Jesse Moore, DPT, MBA's license?

NPPES lists Illinois license number 070018656, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.