Individual provider Active NPI

Katherine Mackenzie Moses, PT, DPT

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1942831375
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298287 Issued in CA
Practice address
18030 Magnolia St
Fountain Valley, CA 92708-5603
Phone
(903) 306-8831
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 298287 CA Primary

Addresses

Primary practice location

18030 Magnolia St
Fountain Valley, CA 92708-5603

Mailing address

18030 Magnolia St
Fountain Valley, CA 92708-5603
Phone (903) 306-8831

Other names 1

  • Katherine Mackenzie Merritt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403001107 CA Practitioner - Physical Therapist in Private Practice 0547699001 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298287CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parisa Refaat Physical Therapy Inc. Physical Therapist CurrentSince Mar 16, 2020 Accepting new patients
Mobile Therapy Specialists Inc CurrentSince May 26, 2021 Accepting new patients
Moses Mobile Physical Therapy LLC Physical Therapist CurrentSince Oct 26, 2021 Accepting new patients

Locations

18030 Magnolia St
Fountain Valley, CA 92708
Phone (619) 483-1141

4028 E Broadway
Long Beach, CA 90803
Phone (562) 433-4331

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1942831375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18030 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603",
            "telephone_number": "903-306-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18030 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603",
            "telephone_number": "903-306-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KATHERINE",
        "middle_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MERRITT",
            "middle_name": "MACKENZIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.