Active NPI
Scott R Mason, PT
- Physical Therapist
- Murfreesboro, TN
National Provider Identifier
1063502029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1958
- Practice address
- 1840 Medical Center Pkwy Ste 200
Murfreesboro, TN 37129-3237 - Phone
- (615) 849-8004
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT0000001958 | TN | |
| Physical Therapist | 225100000X | 1958 | TN | Primary |
Addresses
Primary practice location
1840 Medical Center Pkwy Ste 200
Murfreesboro, TN 37129-3237
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6026413 | Other | TN | BCBS TN |
| Q018736 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000001958 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Salem | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Land Ambulance
- Salem, OH
- NPI 1912594086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1063502029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-851-6033",
"fax_number": "615-851-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 MEDICAL CENTER PKWY STE 200",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371293237",
"telephone_number": "615-849-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "SCOTT",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "PT0000001958",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "1958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "6026413",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q018736",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.