Gustavo Daniel Mosqueda-Cuellar

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0015242 Issued in CO

Practice address

3920 N Union Blvd Ste 160
Colorado Springs, CO 80907-4907

Phone

(719) 471-4221

Fax

(719) 471-3734

NPI assigned

Sep 22, 2022

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1255054367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 SANDY SPRINGS PT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174078",
            "telephone_number": "970-630-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074907",
            "telephone_number": "719-471-4221",
            "fax_number": "719-471-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEDA-CUELLAR",
        "first_name": "GUSTAVO",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0015242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Jay Mosher-Ramirez, CPFS, NCPRSS, IARCP
• Christopher Mosher
• Melissa Jean Mosher, LMT
• Daijon Mosley, BT
• Lashawn Mosley
• Cassandra Moss
• Charles Joseph Moss III, CRNA
• Justin Charles Moss, L.P.C.
• Stephanie Moss, B.A.
• Victoria Rose Moss, M.D.

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.