Susan Marie Moss, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04635 Issued in OH

Practice address

2899 Hubbard Rd
Madison, OH 44057-2933

Phone

(440) 428-0422

Fax

(440) 428-0553

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Layton Physical Therapy Co., Inc.

  • Physical Therapy Clinic/Center
  • Madison, OH
  • NPI 1215084579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1114450491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7923 MUNSON RD",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440603742",
            "telephone_number": "440-209-1836",
            "fax_number": "440-209-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 HUBBARD RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572933",
            "telephone_number": "440-428-0422",
            "fax_number": "440-428-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "04635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miller Holdings Broadfield, Inc.
• Miller Holdings Stewart, Inc.
• Winifred Maureen Mitchell, R.N.
• Kimberly M Mock
• Bonnie Lee Morgan, PT, M.ED.
• Samantha Kaye Muller
• Wendy L Myers
• Dahlia Ruth Nahon, MD
• New Avenues to Independence, Inc.
• Kymberly Ann Nicholas, D.P.T.

• Physical Therapist in Madison, OH
• Providers in Madison, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.