JON MOOT (PT) – Physical Therapist, NPI 1033744339

JON MOOT (PT) is a healthcare provider. based in North las vegas, Nevada. specializing in Physical Therapist. They hold the professional credentials PT. The NPI Number for JON MOOT (PT) is 1033744339

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JON MOOT (PT)
NPI
1033744339
Phone
(702) 936-7165
Address
2225 E CENTENNIAL PKWY STE 106
Enumeration Date
6 March 2020
Last Update Date
6 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029367165
Graduation Year
2019 (7 years ago)
PAC ID
6204257504
Group Practice PAC ID
3274422647
Professional Enrollment ID
I20200521002236
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for JON MOOT (PT)

  • 2225 E CENTENNIAL PKWY STE 106

    NORTH LAS VEGAS, NV 890815602

    Phone: (702) 936-7165

    Type: Location

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

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: 2020-05-21

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
I20200521002236IPhysical Therapist In Private PracticeNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89081)

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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: 3274422647View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeIL
-TX
-NV
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

How do I look up JON MOOT (PT) by NPI?
Use NPI 1033744339 when you need to reference JON MOOT (PT) in forms, claims, or directories.
Is JON MOOT (PT) currently active in the NPI registry?
CMS-published data lists JON MOOT (PT) as an active registrant.
Can you summarize JON MOOT (PT)'s specialty in plain language?
Clinically, the directory lists JON MOOT (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does JON MOOT (PT) practice in Nevada?
You will see North Las Vegas, Nevada on file for JON MOOT (PT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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