Tyus D Momoh, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

650 Highway 287 N Ste 160
Mansfield, TX 76063-6876

Phone

(817) 375-5320

NPI assigned

Jul 15, 2024

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyus.momoh.1@15749.direct.athenahealth.com

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.

• Orthotx, PLLC

  • Orthopaedic Surgery Physician
  • Arlington, TX
  • NPI 1336134469
  Medicare reassignment Care Compare group NPD
• Orthotx, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1831919679
  NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1548007685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 CAMINATA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546757",
            "telephone_number": "817-528-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HIGHWAY 287 N STE 160",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636876",
            "telephone_number": "817-375-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOH",
        "first_name": "TYUS",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modrall Dentistry, PA
• Amy Jo Modrall, D.D.S.
• Bryan Haney Molen, DPM
• Crystal Molina-Lomeli, BCBA
• Lilian Nyanganyi Momanyi, PHARMD
• Milton Mono, RN
• Kelley L Monroe, PMHNP-BC
• La Shanda Montgomery, MSN, RN, FNP-C
• Robert Montoya, APRN
• Ashley Moon, LPC

• Orthopedic Physical Therapist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Orthopedic Physical Therapist in Texas

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