| Janelle Moore, PT | |
|
548 E Washington St, Millstadt, IL 62260-1283 | |
| (618) 476-9444 | |
| Not Available |
| Full Name | Janelle Moore |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 548 E Washington St, Millstadt, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2000146676 (Missouri) | Secondary |
| 225100000X | Physical Therapist | 70011977 (Illinois) | Primary |
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023129681 PECOS PAC ID: 8325014020 Enrollment ID: O20040903000494 |
| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861503542 PECOS PAC ID: 4183692577 Enrollment ID: O20040923000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Janelle Moore, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Janelle Moore, PT 548 E Washington St, Millstadt, IL 62260-1283 Ph: (618) 476-9444 |
Mrs. Amy Margaret Weck, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Steinberg Cir, Millstadt, IL 62260 Phone: 618-476-3976 | |
Kristin Iler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 327 W Washington St, Millstadt, IL 62260 Phone: 618-476-9444 Fax: 618-476-7650 | |
Rhonda Koldehoff, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 548 E Washington St, Millstadt, IL 62260 Phone: 618-476-9444 | |
Richard Erler, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 327 W Washington St, Millstadt, IL 62260 Phone: 618-476-9444 | |
Keaton E Worland, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 327 W Washington St, Millstadt, IL 62260 Phone: 618-476-9444 Fax: 618-476-7650 | |
Valerie Michelle Sindel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 327 W Washington St, Millstadt, IL 62260 Phone: 618-476-9444 | |
Sarah Rhein, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 327 W Washington St, Millstadt, IL 62260 Phone: 618-476-9444 Fax: 618-476-7650 |