KATIE MOODY (PT, DPT) – Physical Therapist, NPI 1780554865

KATIE MOODY (PT, DPT) is a healthcare provider. based in Pelham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PTH12530 (AL). The NPI Number for KATIE MOODY (PT, DPT) is 1780554865

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KATIE MOODY (PT, DPT)
NPI
1780554865
Phone
Not provided
Address
206 STONEHAVEN TRCE
Enumeration Date
5 November 2025
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
3779062021
Group Practice PAC ID
7012085137
Professional Enrollment ID
I20260207000800
Address ID
AL352432333Ve3125XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for KATIE MOODY (PT, DPT)

  • 206 STONEHAVEN TRCE

    PELHAM, AL 351243945

    Phone:

    Type: Mailing

  • 3125 BLUE LAKE DR

    VESTAVIA, AL 352432333

    Phone: (205) 969-7887

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260207000800IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012085137View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
-AL
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeAL
-TN

Reviews

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Frequently asked questions

Does KATIE MOODY (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATIE MOODY (PT, DPT) uses 1780554865.
Does the file indicate KATIE MOODY (PT, DPT) is practicing under active NPI?
Directory data currently reports KATIE MOODY (PT, DPT) as active.
What taxonomy line describes KATIE MOODY (PT, DPT)?
For research purposes, treat KATIE MOODY (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KATIE MOODY (PT, DPT) on a map?
Expect Pelham, Alabama as a primary anchor for KATIE MOODY (PT, DPT) unless the record lists multiple sites.
Why does KATIE MOODY (PT, DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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