Sid Mosiman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1025 Issued in NM

Practice address

505 N Main Ave
Aztec, NM 87410-1942

Phone

(505) 334-9616

Fax

(505) 334-7343

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Sports Medicine of Northern New Mexico, Inc. 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.83 of 100Reported as individual

Quality

89.97

Improvement activities

40

Cost

79.46

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy & Sports Medicine of Northern New Mexico, Inc.

  • Physical Therapist
  • Aztec, NM
  • NPI 1306069224

  NM

  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1871667089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MAIN AVE",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874101942",
            "telephone_number": "505-334-9616",
            "fax_number": "505-334-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN AVE",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874101942",
            "telephone_number": "505-334-9616",
            "fax_number": "505-334-7343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NM",
            "postal_code": "874136601",
            "country_code": "US",
            "telephone_number": "505-334-9616",
            "fax_number": "505-334-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSIMAN",
        "first_name": "SID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K0972",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie McKenzie Briggs
• Jennifer Jane McKinney, MA, LMHC
• Mer Eddy County, Inc.
• Mercy Regional Medical Center of Durango
• Miki R Moffitt, RN, BSN, FNP-C
• Lucia Elizabeth Naranjo, RN, MSN
• Tanya M Ober, MS, CCC-SLP
• Josephine Snyder Olson, LPCC
• Lissa Ellen Paak, OT
• Susie Palmer

• All providers in Aztec, NM
• Physical Therapist in New Mexico

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