Individual provider Active NPI

Mason McAnnally, DPT

  • Physical Therapist
  • Trussville, AL
National Provider Identifier
1003463555
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9547 Issued in AL
Practice address
183 Main St Ste D
Trussville, AL 35173-1496
Phone
(205) 655-1009
Fax
(205) 655-1264
NPI assigned
Aug 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9547 AL Primary

Addresses

Primary practice location

183 Main St Ste D
Trussville, AL 35173-1496

Mailing address

4 Office Park Cir Ste 217
Mountain BRK, AL 35223-2674
Phone (205) 263-2770

Other identifiers 1

IdentifierTypeStateIssuer
PTH9547OtherALLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.2 of 100Reported as group
Quality
95.91
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9547ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Level Performance & Physio Inc Current Accepting new patients
Therapy South LLC - Fultondale Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Ew Motion Therapy Homewood LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Ew Motion Therapy Trussville LLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Therapy South LLC Fultondale Physical Therapist PastSince Aug 1, 2019 Accepting new patients

Locations

3471 Lowery Pkwy
Ste 107
Fultondale, AL 35068
Phone (205) 849-6566

3125 Independence Dr
Ste 300B
Homewood, AL 35209
Phone (205) 263-2770

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

4 Office Park Cir
Ste 217
Mountain Brk, AL 35223
Phone (205) 263-2770

183 Main St
Ste D
Trussville, AL 35173
Phone (205) 655-1009

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1003463555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR STE 217",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232674",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 MAIN ST STE D",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731496",
            "telephone_number": "205-655-1009",
            "fax_number": "205-655-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANNALLY",
        "first_name": "MASON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTH9547",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.