Madison Spencer Moss, PT
Physical Therapist in Roswell, GA. Individual provider (NPI-1).
NPI number1801441985
StatusActive
Last updated in NPPESMar 19, 2026
Details
- NPI
- 1801441985
- Entity type
- Individual (NPI-1)
- Name
- Madison Spencer Moss
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2019
- Certification date
- Mar 19, 2026
- Last updated
- Mar 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT016467 | GA | Yes |
Practice location
625 W Crossville Rd Ste 216Roswell, GA 30075-7515
Phone 470-349-8884
Mailing address
840 Lowery RdRockmart, GA 30153-3415
Phone 770-324-2058
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All 194 Physical Therapist providers in Roswell · All 3,252 providers in Roswell
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