Individual provider Active NPI

Thomas Mossbarger, PT, DPT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1699321430
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014234 Issued in GA
Practice address
1505 Stone Bridge Pkwy Ste 200
Woodstock, GA 30189-8282
Phone
(770) 926-6520
NPI assigned
Aug 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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 PT014234 GA Primary

Addresses

Primary practice location

1505 Stone Bridge Pkwy Ste 200
Woodstock, GA 30189-8282

Mailing address

300 Tower Rd NE Ste 200
Marietta, GA 30060-9403
Phone (770) 427-5717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016000441 GA Practitioner - Physical Therapist in Private Practice 4183955537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2800 Buford Dr
Suite 315
Buford, GA 30519-5107
Phone (678) 450-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014234GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 27, 2020 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 27, 2020 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC CurrentSince Feb 17, 2020 Accepting new patients

Locations

2800 Buford Dr
Ste 315
Buford, GA 30519
Phone (678) 450-9933

2920 Ronald Reagan Blvd
Ste 106
Cumming, GA 30041
Phone (770) 887-0502

145 Forest Blvd
Ste 200
Dawsonville, GA 30534
Phone (706) 203-2100

300 Tower Rd NE
Ste 101
Marietta, GA 30060
Phone (770) 218-0219

300 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 427-5717

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

4825 S Old Peachtree Rd
#1100
Peachtree Corners, GA 30071
Phone (678) 205-5420

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

1505 Stone Bridge Pkwy
Ste 200
Woodstock, GA 30189
Phone (770) 926-6520

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1699321430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TOWER RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609403",
            "telephone_number": "770-427-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STONE BRIDGE PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898282",
            "telephone_number": "770-926-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSBARGER",
        "first_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.