Jennifer Mosqueda, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2006896 Issued in TX

Practice address

2505 E Villa Maria Rd
Bryan, TX 77802-2038

Phone

(979) 776-3863

NPI assigned

Oct 15, 2007

Sex

Female

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1356530489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16273 FM 3090 RD",
            "city": "ANDERSON",
            "state": "TX",
            "postal_code": "778305606",
            "telephone_number": "979-776-3863",
            "fax_number": "979-776-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022038",
            "telephone_number": "979-776-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEDA",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2006896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Earl Morris, FNP-C
• Patsy Morse
• Mosaic
• Suzette Moser, CCC/SLP
• Taliyah Mosley
• Carmen Mota, LPC
• MRC Crestview
• MTR Treatment Corp
• Madhusudhana R Mudduluru, M.D
• Jaimi Mueller, M.A., BCBA, LBA

• Physical Therapy Assistant in Bryan, TX
• Providers in Bryan, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.