Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jurdan Ashton Mossburg, PT

Individual provider Physical Therapist · NPI 1124886999

Jurdan Ashton Mossburg, PT is a Physical Therapist in Private Practice in Williston, Vermont. Graduated from University of Vermont College of Medicine in 2023, 3 years ago. Practices with PT 360 Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
3
Trained at
University of Vermont College of Medicine
Licensed in
VT
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

426 Industrial Ave Ste 190
Williston, VT 05495-7904
Phone: (802) 860-4360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040.0134697 (VT)

Record details

NPI number1124886999
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Pt 360 Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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