Active NPI
Susan E. Masters, PTA
- Physical Therapy Assistant
- Roslindale, MA
National Provider Identifier
1184894321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3471
- Practice address
- 1245 Centre St
Roslindale, MA 02131-1010 - Phone
- (617) 325-5400
- NPI assigned
- Mar 4, 2008
- Last updated
- Mar 4, 2008
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 3471 | MA | Primary |
Addresses
Primary practice location
1245 Centre St
Roslindale, MA 02131-1010
Mailing address
252 Kennedy Dr
Apt. 407
Malden, MA 02148-3300
Phone (508) 439-9753
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 |
|---|---|---|---|
| 3471 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spaulding Nursing and Therapy Center Brighton, Inc. | Past | Accepting new patients | |
| Ipc Hospitalists of New England PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
-
dba Spaulding Nursing and Therapy Center Brighton
- Skilled Nursing Facility
- Allston, MA
- NPI 1093714693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1184894321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 KENNEDY DR",
"address_2": "APT. 407",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483300",
"telephone_number": "508-439-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 CENTRE ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311010",
"telephone_number": "617-325-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "SUSAN",
"middle_name": "E.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "3471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.