Thomas Hudson Moss IV, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1711 Martha Berry Blvd NW
Rome, GA 30165-1623

Phone

(706) 528-4207

Fax

(706) 528-4211

NPI assigned

Oct 30, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1750925160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307280431",
            "telephone_number": "706-638-3880",
            "fax_number": "706-638-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651623",
            "telephone_number": "706-528-4207",
            "fax_number": "706-528-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "THOMAS",
        "middle_name": "HUDSON",
        "name_suffix": "IV",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Morris, PTA
• James W Moseley, M.D
• Susan Leslie Mosley, LAC
• Patrick Grant Moss, CRNA
• Seaborn Thomas Moss, M.D.
• Mt Berry Hospice Inc.
• Katherine Michelle Mueller, APRN, BC
• Sobia Mujtaba, M.D., MPH
• Richard L Muller Jr., DDS
• Thomas W Muller, M.D.

• Physical Therapist in Rome, GA
• Providers in Rome, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.