Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelly Ann Moore, PT, DPT

Individual provider Orthopedic Physical Therapist · NPI 1467764084

Dr. Kelly Ann Moore, PT, DPT is a Physical Therapist in Private Practice in Park Ridge, Illinois. Qualified in 2007, 19 years ago. Practices with Cloudline Physical Therapy LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1875 W Dempster St Ste G10
Park Ridge, IL 60068-1100
Phone: (847) 723-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 070.011258 (IL)

Record details

NPI number1467764084
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 12, 2010
Last updated in NPPESJuly 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cloudline Physical Therapy Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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