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

Mark Lee Moss, PT

Individual provider Physical Therapist · NPI 1891050068

Mark Lee Moss, PT is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2012, 14 years ago. Practices with Moss Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
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

390 E Parkcenter Blvd Ste 130
Boise, ID 83706-6662
Phone: (208) 433-9211
Fax: (208) 433-9241
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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 PT 3018 (ID)

Record details

NPI number1891050068
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 12, 2012
Last updated in NPPESOctober 10, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Moss Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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