Mossy Creek Rehab
NPI 1427386200ActiveOrganization· Physical Therapist· Jefferson City, TN
Physical Therapist in Jefferson City, Tennessee, registered in NPPES in December 2009. The authorized official on file is Lindsay Matijevich, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427386200 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2009 |
| Last updated in NPPES | Jan 28, 2026 |
| Certified by provider | Jan 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT0000001151 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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All 17 physical therapists in Jefferson City · All physical therapists in Tennessee