MEREDITH MOORE – Physical Therapist, NPI 1114316346

MEREDITH MOORE is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5501016836 (MI). The NPI Number for MEREDITH MOORE is 1114316346

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH MOORE
NPI
1114316346
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
12 January 2015
Last Update Date
2 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867798892
Graduation Year
2012 (14 years ago)
PAC ID
9133443260
Group Practice PAC ID
9638299589
Professional Enrollment ID
I20150121000880
Address ID
MI480801956SA23161AVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MEREDITH MOORE

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 2625 PLYMOUTH RD

    ANN ARBOR, MI 481052468

    Phone: (734) 585-3313

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150121000880IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23227$0
97140Therapy procedure using manual technique, each 15 minutes15823$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15321$0
97530Therapy procedure using functional activities3316$0
97162Evaluation for physical therapy, typically 30 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Provider's Procedures

MEREDITH MOORE performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes85041
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes33939

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638299589View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What identifier follows MEREDITH MOORE across health systems?
The NPI 1114316346 uniquely identifies MEREDITH MOORE in U.S. healthcare data.
Quick check: is MEREDITH MOORE active?
Public NPPES data shows MEREDITH MOORE with an active NPI status right now.
Which specialty label fits MEREDITH MOORE?
NPPES ties MEREDITH MOORE to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MEREDITH MOORE tied to Bolingbrook, Illinois?
If you are local to Bolingbrook, Illinois, MEREDITH MOORE may be relevant to your search.
Can I export MEREDITH MOORE's record?
You can download the official NPPES record; we summarize key fields for readability.

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