Active NPI
Madison Moser, PTA
- Physical Therapy Assistant
- Thermopolis, WY
National Provider Identifier
1023522778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0968
- Practice address
- 1210 Canyon Hills Rd
Thermopolis, WY 82443-3137 - Phone
- (307) 864-5591
- NPI assigned
- Nov 16, 2017
- Last updated
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-03300 | KS | |
| Physical Therapy Assistant | 225200000X | 0968 | WY | Primary |
Addresses
Primary practice location
1210 Canyon Hills Rd
Thermopolis, WY 82443-3137
Mailing address
1318 Odell Ave
Thermopolis, WY 82443-2543
Phone (620) 376-8385
Other practice location 1
1305 Wakarusa Dr
Lawrence, KS 66049-3830
Phone (785) 842-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-03300 | KS | MD | Physical Therapy Assistant |
| 0968 | WY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1023522778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 ODELL AVE",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824432543",
"telephone_number": "620-376-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 CANYON HILLS RD",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824433137",
"telephone_number": "307-864-5591"
}
],
"practiceLocations": [
{
"address_1": "1305 Wakarusa Dr",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660493830",
"country_code": "US",
"telephone_number": "785-842-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSER",
"first_name": "MADISON",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-03300",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WY",
"license": "0968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thermopolis, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.