Individual provider Active NPI

Madison Conn Moza, OT

  • Occupational Therapist
  • Bluffton, SC
National Provider Identifier
1831955582
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7475 Issued in SC
Practice address
75 Baylor Dr Ste 250
Bluffton, SC 29910-8988
Phone
(843) 476-4682
Fax
(843) 949-3022
NPI assigned
Feb 21, 2024
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT009182 GA
Occupational Therapist 225X00000X 7475 SC Primary

Addresses

Primary practice location

75 Baylor Dr Ste 250
Bluffton, SC 29910-8988

Mailing address

75 Baylor Dr Ste 250
Bluffton, SC 29910-8988
Phone (843) 476-4682

Other practice location 1

1706 Highway 129 S Ste B
Cleveland, GA 30528-4945
Phone (706) 219-4507

Other names 1

  • Madison Conn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240728000086 GA Practitioner - Occupational Therapist in Private Practice 6406392307 Reassigns benefits to 3 organizations
I20250319001813 SC Practitioner - Occupational Therapist in Private Practice 6406392307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

75 Baylor Dr
Suite 250
Bluffton, SC 29910-8901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jun 12, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Jun 12, 2024 Accepting new patients
Benchmark Physical Therapy Inc Occupational Therapist CurrentSince Jun 12, 2024 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership CurrentSince Mar 3, 2025 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Jun 12, 2024 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Occupational Therapist CurrentSince Mar 3, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Jun 12, 2024 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Jun 12, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1375 Peachtree St NE
Ste A12
Atlanta, GA 30309
Phone (470) 875-6677

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1706 Highway 129 S
#B
Cleveland, GA 30528
Phone (706) 219-4507

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

75 Baylor Dr
Ste 250
Bluffton, SC 29910
Phone (843) 476-4682

8 Hospital Ctr
Ste 250
Hilton Head Island, SC 29926
Phone (843) 671-7342

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

Organizations & group practices 8

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1831955582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BAYLOR DR STE 250",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108988",
            "telephone_number": "843-476-4682",
            "fax_number": "843-949-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BAYLOR DR STE 250",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108988",
            "telephone_number": "843-476-4682",
            "fax_number": "843-949-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 Highway 129 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "GA",
            "postal_code": "305284945",
            "country_code": "US",
            "telephone_number": "706-219-4507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOZA",
        "first_name": "MADISON",
        "middle_name": "CONN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009182",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "7475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "CONN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.