Active NPI
Madison Spencer Moss, PT
- Physical Therapist
- Roswell, GA
National Provider Identifier
1801441985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016467
- Practice address
- 625 W Crossville Rd Ste 216
Roswell, GA 30075-7515 - Phone
- (470) 349-8884
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | PT016467 | GA | Primary |
Addresses
Primary practice location
625 W Crossville Rd Ste 216
Roswell, GA 30075-7515
Mailing address
840 Lowery Rd
Rockmart, GA 30153-3415
Phone (770) 324-2058
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016467 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosport Physical Therapy & Rehabilitation Specialist Inc. | Physical Therapist | Past | Accepting new patients |
| Kennestone Hospital, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Psychiatric Hospital Unit
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- NPI 1689361438
-
- Physical Therapist
- Marietta, GA
- NPI 1376546341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1801441985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 LOWERY RD",
"city": "ROCKMART",
"state": "GA",
"postal_code": "301533415",
"telephone_number": "770-324-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W CROSSVILLE RD STE 216",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300757515",
"telephone_number": "470-349-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "MADISON",
"middle_name": "SPENCER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.