Individual provider Active NPI

Jacob Samuel Mosko, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1598503310
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61567280 Issued in WA
Practice address
311 Terry Ave N
Seattle, WA 98109-5222
Phone
(206) 415-9515
NPI assigned
Jul 16, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61567280 WA Primary

Addresses

Primary practice location

311 Terry Ave N
Seattle, WA 98109-5222

Mailing address

311 Terry Ave N
Seattle, WA 98109-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813004146 WA Practitioner - Physical Therapist in Private Practice 4688112345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Physical Therapy PLLCGroup PAC ID 0941528368, 3 clinicians

Practice addresses (Care Compare)

311 Terry Ave N
Seattle, WA 98109-5222
Phone (206) 279-2870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61567280WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Physical Therapy, PLLC Physical Therapist CurrentSince Jun 4, 2024 Accepting new patients

Locations

2720 4th Ave
Apt 115
Seattle, WA 98121
Phone (206) 279-2870

311 Terry Ave N
Seattle, WA 98109
Phone (206) 279-2870

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1598503310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 TERRY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 TERRY AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095222",
            "telephone_number": "206-415-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKO",
        "first_name": "JACOB",
        "middle_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61567280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.