Active NPI
Mason Buren, PT, DPT
- Physical Therapist
- Brooklyn Park, MD
National Provider Identifier
1134050800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP058062T
- Practice address
- 613 Hammonds LN
Brooklyn Park, MD 21225-3351 - Phone
- (410) 636-3400
- NPI assigned
- May 28, 2026
- 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 | CP058062T | MD | Primary |
Addresses
Primary practice location
613 Hammonds LN
Brooklyn Park, MD 21225-3351
Mailing address
5405 Killinur Dr
Prospect, KY 40059-9555
Phone (502) 526-3855
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 |
|---|---|---|---|
| CP058062T | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1134050800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 KILLINUR DR",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400599555",
"telephone_number": "502-526-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 HAMMONDS LN",
"city": "BROOKLYN PARK",
"state": "MD",
"postal_code": "212253351",
"telephone_number": "410-636-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUREN",
"first_name": "MASON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "CP058062T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.