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

James Peter Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1710635578

James Peter Moore, PTA is a Physical Therapy Assistant in Dekalb, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Partly verified

Some contact details are missing from the federal record.

Dekalb County Rehab 2600 N Annie Glidden Rd
Dekalb, IL 60115
Phone: (815) 758-2477
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.008658 (IL)

Record details

NPI number1710635578
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateFebruary 25, 2022
Mailing address2600 N Annie Glidden Rd, Dekalb, IL 60115-1207

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