Sommer Mason, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6242 Issued in CA

Practice address

201 E Hamilton Ave
Campbell, CA 95008-0206

Phone

(408) 376-0900

Fax

(408) 376-0886

NPI assigned

May 13, 2011

Last updated

Jun 17, 2015By the provider in NPPES

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

Other names 1

• Sommer Damas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Deryke and Associates, Inc

  dba Myofascial Therapy

  • Physical Therapist
  • Campbell, CA
  • NPI 1275690984
  NPD (past)

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1083906663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 ORMOND AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945445058",
            "telephone_number": "408-376-0900",
            "fax_number": "408-376-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080206",
            "telephone_number": "408-376-0900",
            "fax_number": "408-376-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SOMMER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOMMER",
            "last_name": "DAMAS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Martini, L.C.S.W.
• Renee Elizabeth Martinson, LMFT
• Mary Margaret O'Neill MD Inc (Cedar OB/GYN inc)
• Roya Marzban, FNP
• Mas Professional Services
• Maliheh Massih, M.D.
• Loren Mata, RBT
• Faith Naomi Mata'U
• Alexis Danielle Mathias, LCSW
• Matsuo Enterprises Inc (silicon valley pharmacy)

• Physical Therapy Assistant in Campbell, CA
• Providers in Campbell, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.