Active NPI
Joseph Jason Mooney, PT
- Physical Therapist
- Collins, MS
National Provider Identifier
1205624152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1724
- Practice address
- 18 Melody LN
Collins, MS 39428-9002 - Phone
- (601) 765-8316
- NPI assigned
- Apr 30, 2025
- Last updated
- Apr 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1724 | MS | Primary |
Addresses
Primary practice location
18 Melody LN
Collins, MS 39428-9002
Mailing address
89 Parrish Rd
Sumrall, MS 39482-4482
Phone (601) 517-0346
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 |
|---|---|---|---|
| PT1724 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1205624152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 PARRISH RD",
"city": "SUMRALL",
"state": "MS",
"postal_code": "394824482",
"telephone_number": "601-517-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MELODY LN",
"city": "COLLINS",
"state": "MS",
"postal_code": "394289002",
"telephone_number": "601-765-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOONEY",
"first_name": "JOSEPH",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collins, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.