Active NPI
Sam Adam Mason, DPT
- Physical Therapist
- West Salem, WI
National Provider Identifier
1073177705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15113-24
- Practice address
- 923 Garland St E
West Salem, WI 54669-1331 - Phone
- (608) 786-4800
- NPI assigned
- Apr 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15113-24 | WI | Primary |
Addresses
Primary practice location
923 Garland St E
West Salem, WI 54669-1331
Mailing address
2111 Mississippi St
La Crosse, WI 54601-5074
Phone (763) 443-4020
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15113-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1073177705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 MISSISSIPPI ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015074",
"telephone_number": "763-443-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 GARLAND ST E",
"city": "WEST SALEM",
"state": "WI",
"postal_code": "546691331",
"telephone_number": "608-786-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "SAM",
"middle_name": "ADAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-29",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15113-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Salem, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.