Michelle Renea Maston, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2082671 Issued in TX

Practice address

2535 Portola VW
San Antonio, TX 78261-2578

Phone

(210) 885-0254

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1003487034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 PORTOLA VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612578",
            "telephone_number": "210-885-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 PORTOLA VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612578",
            "telephone_number": "210-885-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTON",
        "first_name": "MICHELLE",
        "middle_name": "RENEA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2082671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masters Dental Group, PC
• Masters of Care Home Health Services, LLC
• David Haynes Masters, DDS
• Lisa B. Masters, DDS, MS
• Patrick A Masters, M.D.
• Nichole Lynn Mastro, MD
• Matthew N Mastrodicasa, MD
• John David Mastrovich, M.D.
• Rebecca Mastrovich
• Saad Masud, MD

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.