Kathryn C Peckham, DPT, CMP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213474 Issued in VA

Practice address

15300 E West Rd
Midlothian, VA 23114-3372

Phone

(804) 320-4064

Fax

(804) 320-4052

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kathryn Carter Moeser Peckham Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.85 of 100Reported as group

Quality

90.74

Promoting interoperability

100

Improvement activities

40

Cost

78.74

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthovirginia Inc

  • Multi-Specialty Clinic/Center
  • Mechanicsville, VA
  • NPI 1487671822

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthovirginia Inc

  • Multi-Specialty Clinic/Center
  • Richmond, VA
  • NPI 1457677221

  Physical Therapist

  NPD
• Orthovirginia, Inc

  • Physical Medicine & Rehabilitation Physician
  • Arlington, VA
  • NPI 1376411413
  NPD
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  NPD (past)
• West Campus Sport & Orthopedic Physical PS Inc.

  • Physical Therapist
  • Federal Way, WA
  • NPI 1205903390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1154426625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 E WEST RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143372",
            "telephone_number": "804-320-4064",
            "fax_number": "804-320-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHAM",
        "first_name": "KATHRYN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "DPT, CMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "174185",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8373581",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PECKHAM",
            "middle_name": "CARTER MOESER",
            "credential": "PT, DPT, CMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephen K. Payne, DDS
• Baisey Victoria Peace, H.I.S
• Kimberly Jane Peacock Harrison, LCSW
• Julie Ellen Peacock, D.P.T.
• Razinah Pearson
• Pediatric & Adolescent Health Partners, P.C.
• Pediatric Dentistry & Orthodontics of VA
• Pediatric Dentistry & Orthodontics of VA, PC
• Pediatric Partners of Virginia, LLC
• Peds Care LTD

• Physical Therapist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.