ALISA MOSBY
NPI 1174386114
Physical Therapist - Geriatrics in Hiram, GA

Active since February 02, 2024Accepts Medicare Assignment
3827 JIMMY LEE SMITH PKWY, HIRAM, GA 30141(770) 943-1142 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alisa Mosby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISA MOSBY (NPI 1174386114) is an individual geriatrics provider in Hiram, Georgia, licensed in Georgia (PT010552) and active in the NPI registry since February 2024. She is a graduate of Illinois College Of Optometry At Chicago (2006).

NPPES Registry Identity

NPI1174386114
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameALISA MOSBY
Location Address3827 JIMMY LEE SMITH PKWYHiram, GA 30141-2804
Mailing Address365 Northridge DrDallas, GA 30132-0558
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2006
Enumeration DateFebruary 2, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1174386114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in GA · PT010552
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT010552 (GA)
3827 JIMMY LEE SMITH PKWY, Hiram, GA 30141

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alisa Mosby is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496285819
PECOS Enrollment IDI20250213002761

Medicare Billing Reassignment

Medicare enrollment records show Alisa Mosby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
258 WOODFALL RD
Cedartown, GA 30125
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3827 JIMMY LEE SMITH PKWY, SUITE 122
HIRAM, GA 30141
Nurse Practitioner (Family)
3827 JIMMY LEE SMITH PKWY
HIRAM, GA 30141
Family Medicine
3827 JIMMY LEE SMITH PKWY
HIRAM, GA 30141
Physical Therapist
3827 JIMMY LEE SMITH PKWY
HIRAM, GA 30141
Family Medicine
3827 JIMMY LEE SMITH PKWY
HIRAM, GA 30141
Physical Therapist
3827 JIMMY LEE SMITH PKWY, SUITE 122
HIRAM, GA 30141
Dentist (General Practice)
3827 JIMMY LEE SMITH PKWY, SUITE 121
HIRAM, GA 30141
Family Medicine
3827 JIMMY LEE SMITH PKWY
HIRAM, GA 30141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisa Mosby's NPI number?

The NPI number for Alisa Mosby is 1174386114. It was assigned to this individual provider in the NPPES registry on February 2, 2024.

Where is Alisa Mosby located?

Alisa Mosby practices at 3827 Jimmy Lee Smith Pkwy, Hiram, GA 30141. The listed phone number is (770) 943-1142.

What is Alisa Mosby's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Alisa Mosby enrolled in Medicare?

Yes. Alisa Mosby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alisa Mosby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Mosby reassigns Medicare benefits to Horizons Therapy Group, Inc. (Cedartown, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Mosby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alisa Mosby was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.