MEDICARE: ARROWS RISING PEDIATRIC THERAPY, LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1497601330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROWS RISING PEDIATRIC THERAPY, LLC

Provider Business Mailing Address
First Line	:	1349 BUTTONSAGE AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-2381
Country	:	US
Telephone Number	:	470-231-6673
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 E 19TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4742
Country	:	US
Telephone Number	:	470-231-6673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER MOSER
Credential	:	PT, PCS, CKTP
Telephone Number	:	470-231-6673

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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