Mason Froeba, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2817-19 Issued in WI

Practice address

2100 E 6TH St
Merrill, WI 54452-3107

Phone

(715) 255-3013

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• RG-Rhinelander, Inc.

  dba Rennes Health & Rehab Center - Rhinelander

  • Skilled Nursing Facility
  • Rhinelander, WI
  • NPI 1407164312
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1114409778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W ELM DR",
            "city": "LOYAL",
            "state": "WI",
            "postal_code": "544469517",
            "telephone_number": "715-255-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E 6TH ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523107",
            "telephone_number": "715-255-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEBA",
        "first_name": "MASON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2817-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dentistry
• Family Foot and Ankle Clinic LLC
• Julie Fehr
• Mary Fischer
• Jennifer Lind Freyer, DDS
• Ann L Fullington, MD
• Steven Gasper, CRNA
• Susan Marie George, OTR,CHT
• Anthony A. Gerlach, M.S.P.T.,A.T.C.
• Tasha Marie Gleason

• Physical Therapy Assistant in Merrill, WI
• Providers in Merrill, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.