JESSIE LYNN MOORE (PTA) – Physical Therapy Assistant, NPI 1790155265

JESSIE LYNN MOORE (PTA) is a healthcare provider. based in Carterville, Illinois. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. PTA30748 (FL). The NPI Number for JESSIE LYNN MOORE (PTA) is 1790155265

Main info

Female
Name
JESSIE LYNN MOORE (PTA)
NPI
1790155265
Phone
(618) 944-2294
Address
1004 MARION ST
Enumeration Date
28 September 2015
Last Update Date
18 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for JESSIE LYNN MOORE (PTA)

  • 1004 MARION ST

    CARTERVILLE, IL 62918

    Phone: (618) 944-2294

    Type: Mailing

  • 67 CRESCENT ST

    PENNDEL, PA 190475203

    Phone: (618) 944-2294

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 62918)

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Frequently asked questions

What is the 10-digit NPI for JESSIE LYNN MOORE (PTA)?
JESSIE LYNN MOORE (PTA) — NPI 1790155265 — is the standard way to identify this listing.
Is JESSIE LYNN MOORE (PTA) listed as active for patients and plans?
The listing shows JESSIE LYNN MOORE (PTA) as active in the NPI system.
What is JESSIE LYNN MOORE (PTA)'s primary classification?
Physical Therapy Assistant is the headline specialty for JESSIE LYNN MOORE (PTA) here. Clinical services aligned with this taxonomy classification.
Where is JESSIE LYNN MOORE (PTA) based?
JESSIE LYNN MOORE (PTA) is tied to Carterville, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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