STEPHEN MOON (DPT) – Physical Therapist, NPI 1295459311

STEPHEN MOON (DPT) is a healthcare provider. based in Glenview, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070026985 (IL). The NPI Number for STEPHEN MOON (DPT) is 1295459311

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN MOON (DPT)
NPI
1295459311
Phone
Not provided
Address
2200 WAUKEGAN RD
Enumeration Date
3 October 2022
Last Update Date
3 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3128788800
Graduation Year
2022 (4 years ago)
PAC ID
8123498789
Group Practice PAC ID
7719115617
Professional Enrollment ID
I20221223001324
Address ID
IL606112218CH845XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for STEPHEN MOON (DPT)

  • 2200 WAUKEGAN RD

    GLENVIEW, IL 600251759

    Phone:

    Mailing address matches the actual address.

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: 2022-12-23

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
I20221223001324IPhysical Therapist In Private PracticeILTBD

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
97140Therapy procedure using manual technique, each 15 minutes1,25155$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes67548$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes63351$0
97530Therapy procedure using functional activities51246$0
97161Evaluation for physical therapy, typically 20 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 60025)

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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: 7719115617View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Clinical Social WorkerIL
Clinical PsychologistIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Where can patients find STEPHEN MOON (DPT)'s NPI?
You can confirm STEPHEN MOON (DPT) with NPI 1295459311; it appears in the national provider directory.
Does this profile mean STEPHEN MOON (DPT) is currently active?
Yes — STEPHEN MOON (DPT) appears active in the national provider directory.
What field does STEPHEN MOON (DPT) work in?
You can think of STEPHEN MOON (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHEN MOON (DPT)?
The page summarizes Glenview, Illinois for STEPHEN MOON (DPT); expand the address list for detail.
Is STEPHEN MOON (DPT) a real provider?
This page reflects official NPPES data for NPI 1295459311. Always confirm identity and privileges with the practice and licensing boards.

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