Mossy Creek Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000001151 Issued in TN

Legal business name

MOSSY CREEK REHAB

Practice address

1405 S Sizer Ave
Jefferson City, TN 37760-2436

Phone

(865) 246-8090

NPI assigned

Dec 6, 2009

Last updated

Jan 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lindsay MatijevichNPI 1356794887

Title

Owner

Phone

(865) 262-9044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Matijevich, DPT

  • Physical Therapist
  • Harriman, TN
  • NPI 1356794887
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Allen Matijevich, PT

  • Physical Therapist
  • Jefferson City, TN
  • NPI 1952639916
  Medicare reassignment Care Compare group NPD
• Martha Startup, PT

  • Physical Therapist
  • Jefferson City, TN
  • NPI 1497674360
  NPD

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

{
    "created_epoch": "1260057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1427386200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S SIZER AVE STE B",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602421",
            "telephone_number": "865-262-9044",
            "fax_number": "865-262-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S SIZER AVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602436",
            "telephone_number": "865-246-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSY CREEK REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-06",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "MATIJEVICH",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-262-9044"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000001151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Montoto, FNP-C
• Jason Curtis Moore, PT
• Lynda Marie Morelli, APRN
• Lorena Moreno, MSW
• Harold Eugene Morrill, O.D.
• Mountain Valley RX 05 Inc (Jeffco Drug Center in Jefferson City)
• Mountain View Pediatrics and Internal Medicine
• Twana Elaine Mullins, OTR
• Richard Jeffrey Munson, PHD
• Tammy Mutter, NP

• Physical Therapist in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.