Individual provider Active NPI

Katia Porshe Mosby, LMT

  • Massage Therapist
  • Surprise, AZ
National Provider Identifier
1366212557
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-19299 Issued in AZ
Practice address
14800 W Mountain View Blvd Ste 260
Surprise, AZ 85374-4797
Phone
(623) 556-5013
Fax
(623) 556-9290
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-19299 AZ Primary

Addresses

Primary practice location

14800 W Mountain View Blvd Ste 260
Surprise, AZ 85374-4797

Mailing address

14800 W Mountain View Blvd Ste 260
Surprise, AZ 85374-4797
Phone (623) 556-5013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-19299AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopedic & Sports Physical Therapy LLC CurrentSince Jan 14, 2024 Accepting new patients
Arizona Infusion Centers LLC PastSince Jan 14, 2024 Accepting new patients

Locations

14800 W Mountain View Blvd
Ste 260
Surprise, AZ 85374
Phone (623) 556-5013

Organizations & group practices 2

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1366212557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744797",
            "telephone_number": "623-556-5013",
            "fax_number": "623-556-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744797",
            "telephone_number": "623-556-5013",
            "fax_number": "623-556-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "KATIA",
        "middle_name": "PORSHE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-19299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.