OrganizationActive
Moose Physical Therapy, PLLC
NPI 1053927640 · Physical Therapist · Peoria, IL
Provider details
- NPI number
- 1053927640
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jeremy Calame, Managing Member(309) 670-0853
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2000 W Pioneer Pkwy Ste 22
Peoria, IL 61615-5805
Phone: (309) 670-0853
Fax: (309) 279-5211
Street-level locationGet directions
Mailing address
2000 W Pioneer Pkwy Ste 22
Peoria, IL 61615-5805
Registry dates
- Enumerated
- 2020-09-18
- Last updated
- 2021-10-31
- Certified
- 2021-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.