Sid Mosiman, PT
NPI 1871667089ActiveIndividual· Physical Therapist· Aztec, NM
Physical Therapist (PT) with Physical Therapy and Sports Medicine of Northern New Mexico, Inc., practicing in Aztec, New Mexico. Medicare paid $158,880 for services to 327 patients in 2024.
Overview
| NPI | 1871667089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1025 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 327 |
|---|---|
| Services billed | 9,836 across 11 procedure codes |
| Paid by Medicare | $158,880 |
Education and affiliations
| Graduation year | 1973 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Physical Therapy and Sports Medicine of Northern New Mexico, Inc.Aztec, NM · 3 clinicians
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