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

Mr. Sid Mosiman, PT

Individual provider Physical Therapist · NPI 1871667089

Mr. Sid Mosiman, PT is a Physical Therapist in Private Practice in Aztec, New Mexico. Qualified in 1973, 53 years ago. Practices with Physical Therapy and Sports Medicine of Northern New Mexico, Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
53
Licensed in
NM
In the registry since
2006
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

505 N Main Ave
Aztec, NM 87410-1942
Phone: (505) 334-9616
Fax: (505) 334-7343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 660 E Broadway Ave, Bloomfield, NM 87413-6601 — (505) 334-9616

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1025 (NM)

Record details

NPI number1871667089
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address505 N Main Ave, Aztec, NM 87410-1942

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Physical Therapy And Sports Medicine Of Northern New Mexico, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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