Individual provider Active NPI

Jesus Santiago Moya, PT, DPT

  • Physical Therapist
  • West Hills, CA
National Provider Identifier
1972219434
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303552 Issued in CA
Practice address
23101 Sherman PL Ste 515
West Hills, CA 91307-2052
Phone
(747) 900-6362
Fax
(747) 900-6114
NPI assigned
Jan 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 303552 CA Primary

Addresses

Primary practice location

23101 Sherman PL Ste 515
West Hills, CA 91307-2052

Mailing address

21221 Oxnard St Apt 536
Woodland Hills, CA 91367-5172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230227000501 CA Practitioner - Physical Therapist in Private Practice 4688047491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Reischl Physical Therapy IncGroup PAC ID 6709825219, 11 clinicians

Practice addresses (Care Compare)

14600 Sherman Way
Suite 300
Van Nuys, CA 91405-2272
Phone (818) 208-7138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reischl Physical Therapy, Inc. Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Renew Physical Therapy Group PC Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients
Navy Physical Therapy P.C. Physical Therapist PastSince Feb 19, 2023 Accepting new patients

Locations

400 S Beverly Dr
Ste 360
Beverly Hills, CA 90212
Phone (310) 231-5279

3292 E Willow St
Signal Hill, CA 90755
Phone (562) 427-2225

14600 Sherman Way
Ste 300
Van Nuys, CA 91405
Phone (818) 208-7138

1881 W Traverse Pkwy
Ste E
Lehi, UT 84048
Phone (801) 900-3174

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1972219434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21221 OXNARD ST APT 536",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 515",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072052",
            "telephone_number": "747-900-6362",
            "fax_number": "747-900-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "JESUS",
        "middle_name": "SANTIAGO",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.