Active NPI
Braeden Moses
- Physical Therapist
- Trophy Club, TX
National Provider Identifier
1689052433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1257809
- Practice address
- 2800 E Highway 114
120
Trophy Club, TX 76262-5304 - Phone
- (817) 491-3403
- Fax
- (817) 491-3308
- NPI assigned
- May 13, 2015
- Last updated
- May 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1257809 | TX | Primary |
Addresses
Primary practice location
2800 E Highway 114
120
Trophy Club, TX 76262-5304
Mailing address
1900 Long Prairie Rd
104
Flower Mound, TX 75022-4217
Phone (972) 724-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1257809 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1689052433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 LONG PRAIRIE RD",
"address_2": "104",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224217",
"telephone_number": "972-724-2400",
"fax_number": "972-724-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E HIGHWAY 114",
"address_2": "120",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762625304",
"telephone_number": "817-491-3403",
"fax_number": "817-491-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "BRAEDEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-13",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1257809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trophy Club, TX
- Metroplex Spinal & Sports Chiropractic, LTD.
- Misty A Minor, PT
- Rebecca Minyard
- Karl Philip Monger, LPC-A
- Andrew Morrissey, DO
- Kalie Irene Mullen, CPNP
- Alice Murphy, RN, LPC
- Jeffrey M Noel, O.D.
- North Central Texas Orthopaedics and Sports Medicine PA
- North Texas Center for Oral and Maxillofacial Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.