Individual provider Active NPI

Kimberly Moccia, DPT

  • Physical Therapist
  • Brandon, FL
National Provider Identifier
1194240226
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42714 Issued in FL
Practice address
741 W Lumsden Rd
Brandon, FL 33511-6261
Phone
(813) 253-3092
NPI assigned
Aug 10, 2017
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23087 MA
Physical Therapist 225100000X PT42714 FL Primary

Addresses

Primary practice location

741 W Lumsden Rd
Brandon, FL 33511-6261

Mailing address

PO Box 932184
Atlanta, GA 31193-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170830001742 MA Practitioner - Physical Therapist in Private Practice 0648543488 Reassigns benefits to 1 organization
I20260610000110 FL Practitioner - Physical Therapist in Private Practice 0648543488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 121Q
Beverly, MA 01915-6129
Phone (978) 927-0907

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
95.5
Improvement activities
40
Cost
75.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23087MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Physical Therapy, PC Dba Orthopaedics Plus Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Burlington Physical Therapy, PC, Dba Orthopaedics Plus Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Burke Collins Therapy, Inc Physical Therapist Past Accepting new patients
Burke Collins Therapy, Inc PastSince Apr 28, 2024 Accepting new patients

Locations

54 Middlesex Tpke
Ste 101L
Bedford, MA 01730
Phone (781) 229-8011

100 Cummings Ctr
Ste 121Q
Beverly, MA 01915
Phone (978) 927-0907

101 Cambridge St
Burlington, MA 01803
Phone (781) 229-8011

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1194240226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116261",
            "telephone_number": "813-253-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCCIA",
        "first_name": "KIMBERLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23087",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.