Individual provider Active NPI

Ronald D Mashni, DPT

  • Physical Therapist
  • Monroe, MI
National Provider Identifier
1063844769
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015990 Issued in MI
Practice address
1291 N Telegraph Rd
Monroe, MI 48162-3368
Phone
(734) 243-0300
Fax
(734) 243-3066
NPI assigned
Aug 5, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501015990 MI
Physical Therapist 225100000X 5501015990 MI Primary

Addresses

Primary practice location

1291 N Telegraph Rd
Monroe, MI 48162-3368

Mailing address

1291 N. Telegraph Road
Monroe, MI 48162-3368
Phone (734) 243-0300

Other practice location 1

6565 W Main St Ste 101
Kalamazoo, MI 49009-9144
Phone (269) 372-1027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190919001159 MI Practitioner - Physical Therapist in Private Practice 1951631878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, 97 clinicians

Practice addresses (Care Compare)

1187 W Huron St
Advanced Hands on
Waterford, MI 48328-3736
Phone (248) 977-4594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Physical Therapy LTD. Physical Therapist Current Accepting new patients

Locations

28933 Woodward Ave
Berkley, MI 48072
Phone (248) 414-7592

23852 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-4222

20225 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 343-2436

1291 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0300

1701 South Blvd E
Ste LL35
Rochester Hills, MI 48307
Phone (248) 853-4431

15245 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 284-6582

1570 Kingsway Ct
Ste 2
Trenton, MI 48183
Phone (734) 676-7400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063844769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 N. TELEGRAPH ROAD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623368",
            "telephone_number": "734-243-0300",
            "fax_number": "734-243-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623368",
            "telephone_number": "734-243-0300",
            "fax_number": "734-243-3066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 W Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490099144",
            "country_code": "US",
            "telephone_number": "269-372-1027",
            "fax_number": "268-372-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASHNI",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501015990",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.