Individual provider Active NPI

Madison Moser, PTA

  • Physical Therapy Assistant
  • Thermopolis, WY
National Provider Identifier
1023522778
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0968 Issued in WY
Practice address
1210 Canyon Hills Rd
Thermopolis, WY 82443-3137
Phone
(307) 864-5591
NPI assigned
Nov 16, 2017
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14-03300KSMDPhysical Therapy Assistant
0968WYMDPhysical 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.

Verify at the official NPI Registry.