KATHRYN L MOEN (P.T) – Physical Therapist, NPI 1609919737

KATHRYN L MOEN (P.T) is a healthcare provider. based in Corvallis, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T. They hold a License No. 3270 (OR). The NPI Number for KATHRYN L MOEN (P.T) is 1609919737

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN L MOEN (P.T)
NPI
1609919737
Phone
(541) 243-8199
Address
2865 NW 29TH ST
Enumeration Date
15 February 2007
Last Update Date
4 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412438199
Graduation Year
1991 (35 years ago)
PAC ID
5890789929
Group Practice PAC ID
1052652708
Professional Enrollment ID
I20091210000762
Address ID
OR973303516CO2865XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for KATHRYN L MOEN (P.T)

  • 2865 NW 29TH ST

    CORVALLIS, OR 973303516

    Phone: (541) 243-8199

    Fax: (541) 286-4485

    Mailing address matches the actual address.

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: 2009-12-10

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
I20091210000762IPhysical Therapist In Private PracticeORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes50633$0
97530Therapy procedure using functional activities17438$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16111$0
97161Evaluation for physical therapy, typically 20 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

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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: 1052652708View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

Does KATHRYN L MOEN (P.T) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHRYN L MOEN (P.T) uses 1609919737.
Can I rely on KATHRYN L MOEN (P.T) being an active provider?
As of the registry snapshot, KATHRYN L MOEN (P.T) is marked active.
What is KATHRYN L MOEN (P.T) best known for clinically?
Directory data describes KATHRYN L MOEN (P.T) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KATHRYN L MOEN (P.T) based?
KATHRYN L MOEN (P.T) is tied to Corvallis, Oregon in the data we show; additional addresses may exist on the full record.
Is the information about KATHRYN L MOEN (P.T) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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