Modestyne Yvonne Mason, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

792 Issued in SC

Practice address

201 S Highland Forest Dr
Columbia, SC 29203-1952

Phone

(803) 786-5949

NPI assigned

Aug 23, 2007

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1053504936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S HIGHLAND FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031952",
            "telephone_number": "803-786-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HIGHLAND FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031952",
            "telephone_number": "803-786-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MODESTYNE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Family Vision, P.C.
• Crystal Mason-Demby, RBT
• Ashley Mason, DO
• John L. Mason, O.D.
• Katherine Savas Mason, O.D.
• Stephen Paul Masone, OD
• Massage and Bodyworx LLC
• Christy Ann Massengale, PTA
• Benjamin D Massey, M.D.
• Cheryl Massey

• Occupational Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.