Active NPI
Garrison Mast
- Physical Therapist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-33007
- Practice address
- 1729 W Greentree Dr Ste 101
Tempe, AZ 85284-2712 - Phone
- (480) 785-1765
- NPI assigned
- Jun 13, 2023
- Last updated
- May 14, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | LPT-33007 | AZ | |
| Physical Therapist | 225100000X | LPT-33007 | AZ | Primary |
Addresses
Primary practice location
1729 W Greentree Dr Ste 101
Tempe, AZ 85284-2712
Mailing address
3913 E Cody Ave
Gilbert, AZ 85234-3003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-33007 | AZ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients |
Locations
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
4045 E Bell Rd
Ste 150
Phoenix, AZ 85032
Phone (602) 992-8352
4232 E Chandler Blvd
Ste 24
Phoenix, AZ 85048
Phone (602) 362-3701
7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133
1729 W Greentree Dr
Ste 101
Tempe, AZ 85284
Phone (480) 785-1765
Organizations & group practices 4
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.
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy and Rehabilitation
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1205510914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3913 E CODY AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 W GREENTREE DR STE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842712",
"telephone_number": "480-785-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAST",
"first_name": "GARRISON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-13",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "LPT-33007",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-33007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.