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

Jaime Moreno, PTA

Individual provider Physical Therapy Assistant · NPI 1851196638

Jaime Moreno, PTA is a Physical Therapy Assistant in Waukegan, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2762 W Atlantic Ave
Waukegan, IL 60085-1587
Phone: (847) 436-7776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160007423 (IL)

Record details

NPI number1851196638
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address2762 W Atlantic Ave, Waukegan, IL 60085-1587

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