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

Stephen Moon, DPT

Individual provider Physical Therapist · NPI 1295459311

Stephen Moon, DPT is a Physical Therapist in Private Practice in Glenview, Illinois. Qualified in 2022, 4 years ago. Practices with Revolution Ptwl LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2200 Waukegan Rd
Glenview, IL 60025-1759
Phone: (847) 752-0006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070026985 (IL)

Record details

NPI number1295459311
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 2, 2022
Mailing address2200 Waukegan Rd, Glenview, IL 60025-1759

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Revolution Ptwl Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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