Hazeline Marie Moss, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19014 Issued in CA

Practice address

3550 Watt Ave
Sacramento, CA 95821-2667

Phone

(916) 323-1505

Fax

(916) 339-9082

NPI assigned

Dec 27, 2006

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hands-on Therapy

  • Physical Therapist
  • Sacramento, CA
  • NPI 1457670887
  NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1306902333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 CANARY DR",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956604707",
            "telephone_number": "916-332-1505",
            "fax_number": "916-339-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212667",
            "telephone_number": "916-323-1505",
            "fax_number": "916-339-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "HAZELINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juana Paola Mosqueda
• Tiffany Mosqueda
• Andrew Bradley Moss, M.D.
• Ashleigh Marie Moss
• Channing Ray Moss, RBT
• Ronald I. Moss, MD
• Anne Catherine Mossberg, CRNA
• Jesse Aaron Most, MD
• Tamer Said Mostafa
• Palesa Mosupyoe

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.