Healthcare Provider Details

I. General information

NPI: 1225158058
Provider Name (Legal Business Name): MOSS REHABILITATION CENTER, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HIGHLAND RD STE 1
SPRINGTOWN TX
76082-7163
US

IV. Provider business mailing address

101 HIGHLAND RD STE 1
SPRINGTOWN TX
76082-7163
US

V. Phone/Fax

Practice location:
  • Phone: 817-220-6677
  • Fax: 817-220-6617
Mailing address:
  • Phone: 817-220-6677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1125003
License Number StateTX

VIII. Authorized Official

Name: DR. ROBERT NATHAN MOSS
Title or Position: MANAGING PARTNER
Credential: PT, SCD, OCS, FAAOMP
Phone: 817-220-6677