Jacob Tyrell Moseley, PT, DPT
Physical Therapist in Hamilton, TX. Individual provider (NPI-1).
NPI number1891363347
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1891363347
- Entity type
- Individual (NPI-1)
- Name
- Jacob Tyrell Moseley
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
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 | 1287222 | TX | Yes |
Practice location
400 N Brown StHamilton, TX 76531-1518
Phone 254-386-1550 · Fax 254-386-1646
Mailing address
400 N Brown StHamilton, TX 76531-1518
Phone 254-386-1550 · Fax 254-386-1646
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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