Katherine Jean Moody, R.P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT2119 Issued in OK

Practice address

1001 SW a Ave
Lawton, OK 73501-3951

Phone

(580) 353-8900

Fax

(580) 353-8903

NPI assigned

May 2, 2011

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 names 1

• Katherine Jean Reimer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gore Therapy Center, P.C.

  • Hearing and Speech Clinic/Center
  • Lawton, OK
  • NPI 1245545458
  NPD (past)
• Taylor'D Therapy Services, L.L.C.

  • Pediatric Physical Therapist
  • Shawnee, OK
  • NPI 1407262785

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691798400000",
    "number": "1376834895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013951",
            "telephone_number": "580-353-8900",
            "fax_number": "580-353-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013951",
            "telephone_number": "580-353-8900",
            "fax_number": "580-353-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-08-12",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OK",
            "license": "PT2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "REIMER",
            "middle_name": "JEAN",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Morteza Montazeri, M.D.
• Parisa Montazeri, PSY.D.
• Nikki Montes
• Andrea M Montgomery, D.D.S.
• Patrick R Montgomery, D.D.S.
• Sherry Ranee Moody, BSN, RN
• Zenobia Moody
• Emily Olivia Moon, D.C.
• Patrice Elaine Mooney, DO
• Andrea Bernice Moore, BS CASE MANAGER

• All providers in Lawton, OK
• Pediatric Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; 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.