MEDICARE: MICHAEL V MOSS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	00591	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578690053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL V MOSS PT

Provider Business Mailing Address
First Line	:	2100 OAK PARK BLVD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-7864
Country	:	US
Telephone Number	:	337-310-5116
Fax Number	:	337-310-5118

Provider Business Practice Location Address
First Line	:	2100 OAK PARK BLVD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-7864
Country	:	US
Telephone Number	:	337-310-5116
Fax Number	:	337-310-5118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	09/28/2010

Similar Medicare Providers

1235768235 — JOI REED
Practice Location Address:

2110 OAK PARK BLVD
LAKE CHARLES, LA
70601-7864

Practice Phone: 337-475-0324
Practice Fax:

1548201437 — COMPASSIONATE COVENANT ADULT DAY HEALTH CARE INC.
Practice Location Address:

2120 OAK PARK BLVD
LAKE CHARLES, LA
70601-7864

Practice Phone: 337-474-2878
Practice Fax: 337-474-2875

1326175217 — CALCASIEU REHAB & SPORTS THERAPY
Practice Location Address:

2100 OAK PARK BLVD
LAKE CHARLES, LA
70601-7864

Practice Phone: 337-310-5116
Practice Fax: 337-310-5118

1831381565 — GUIDRY'S HEALTH TRANSPORTATION INC.
Practice Location Address:

2120 OAK PARK BLVD
LAKE CHARLES, LA
70601-7864

Practice Phone: 337-532-2275
Practice Fax: 337-474-2875

1871867887 — MERAKEY PENNSYLVANIA
Practice Location Address:

2110 OAK PARK BLVD
LAKE CHARLES, LA
70601-7864

Practice Phone: 215-836-3131
Practice Fax: 215-273-5975

1548689268 — MARGARET BELFOUR
Practice Location Address:

2110 OAK PARK BLVD
LAKE CHARLES, LA
70601-7864

Practice Phone: 337-475-0324
Practice Fax: 337-475-8917

Directions to “ MICHAEL V MOSS PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.