Jesse Moore, DPT, MBA
NPI 1043555410 · Physical Therapist · Glen Carbon, IL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Moore, DPT, MBA is a Physical Therapist provider in Glen Carbon, IL (NPI 1043555410).
Provider details
- NPI number
- 1043555410
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, MBA
- Sex
- Male
- Sole proprietor
- No
- License
- 070018656 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-12-11
- Last updated
- 2012-12-11
Frequently asked questions
- What is Jesse Moore's NPI number?
- Jesse Moore's National Provider Identifier (NPI) is 1043555410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Moore's specialty?
- Jesse Moore is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jesse Moore located?
- Jesse Moore's practice location on file with NPPES is 3008 Huntsville Dr, Glen Carbon, IL 62034-3046.
- What is Jesse Moore's phone number?
- The practice phone number listed in the NPPES registry for Jesse Moore is (317) 691-6262.
- Does Jesse Moore accept Medicare?
- Jesse Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Moore's NPI active?
- Yes — Jesse Moore's NPI (1043555410) is active in the NPPES registry as of the last update on 2012-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.