Individual provider Active NPI

Michael Ryan Moss, DPT

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1144309386
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008287 Issued in GA
Practice address
4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800
Phone
(678) 985-0238
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008287 GA Primary

Addresses

Primary practice location

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

5450 Peachtree Pkwy Ste 1F
Peachtree Corners, GA 30092-2557
Phone (678) 823-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000571 GA Practitioner - Physical Therapist in Private Practice 8426199951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

123 Battlefield Crossing CT
Ringgold, GA 30736-5176
Phone (706) 861-8775

3641 Centerville Hwy
Suite 4
Snellville, GA 30039-6593
Phone (470) 365-2135

5450 Peachtree Pkwy
Suite 1F
Peachtree Corners, GA 30092-2557
Phone (678) 823-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 30, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 1, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 30, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

626 E Main St
Cartersville, GA 30121
Phone (770) 383-9734

3790 Pleasant Hill Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-4228

4825 Sugarloaf Pkwy
Ste C
Lawrenceville, GA 30044
Phone (678) 583-9954

5450 Peachtree Pkwy
Ste 1F
Peachtree Corners, GA 30092
Phone (678) 823-6100

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

3641 Centerville Hwy
Ste 4
Snellville, GA 30039
Phone (470) 365-2135

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1144309386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SUGARLOAF PKWY STE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448800",
            "telephone_number": "678-985-0238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Peachtree Pkwy Ste 1F",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300922557",
            "country_code": "US",
            "telephone_number": "678-823-6100",
            "fax_number": "678-681-9107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "008287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.