Mason Dwinnell

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT015902 Issued in GA

Practice address

550 Pharr Rd NE Ste 550
Atlanta, GA 30305-3437

Phone

(404) 382-8702

NPI assigned

May 27, 2022

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Motion Stability, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1174760896
  NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1043959125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 BRIARCLIFF RD NE APT 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PHARR RD NE STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053437",
            "telephone_number": "404-382-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWINNELL",
        "first_name": "MASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT015902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Renal Healthcare, Inc. (Loring Heights Dialysis)
• Dvtlite LLC
• DWC-Nemt LLC
• Jennifer L Dwelle, RN, MSN, NNP-BC
• Dwelling Place Pediatrics LLC
• April Dworetz, MD, MPH, MA
• Jason Dwyer
• Kelley Dwyer, AU.D. CCC-A
• Michael Dwyer, M.D.
• Lauren Dyak, O.D.

• Orthopedic Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.