Jeffrey A Mossburg, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06028446 Issued in IN

Practice address

2312 S Dixon Rd
Suite 250
Kokomo, IN 46902-6401

Phone

(765) 455-2122

Fax

(765) 453-6643

NPI assigned

Dec 26, 2008

Sex

Male

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

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1285870147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469011795",
            "telephone_number": "765-455-2122",
            "fax_number": "765-453-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S DIXON RD",
            "address_2": "SUITE 250",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026401",
            "telephone_number": "765-455-2122",
            "fax_number": "765-453-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSBURG",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06028446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Morley
• Kimberly Yvette Morris, PH.D., HSPP
• Amanda Grace Morrison
• Brittney Moss, RBT, BS
• Katelyn R Moss, LDH
• Kiana Jannelle Moulder
• Moving Toward Balance LLC
• Moving Toward Balance LLC
• Victoria L Moyer, MD
• MSL, Inc.

• Physical Therapy Assistant in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.