Individual provider Active NPI

Rachel McCarthy-Moya

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1194303875
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299965 Issued in CA
Practice address
10725 Zelzah Ave # B
Granada Hills, CA 91344-4431
Phone
(818) 832-8383
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299965 CA Primary

Addresses

Primary practice location

10725 Zelzah Ave # B
Granada Hills, CA 91344-4431

Mailing address

6513 Monterey Rd
Los Angeles, CA 90042-4336
Phone (619) 993-4396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210430000825 CA Practitioner - Physical Therapist in Private Practice 2365851458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299965CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Physical Therapy Ca Inc Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients

Locations

7188 Avenida Encinas
Ste 110
Carlsbad, CA 92011

10725 Zelzah Ave
#B
Granada Hills, CA 91344
Phone (818) 400-0304

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1194303875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424336",
            "telephone_number": "619-993-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 ZELZAH AVE # B",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444431",
            "telephone_number": "818-832-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY-MOYA",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.