Noah Mascal
Individual provider Active NPI Physical Therapist · Conifer, CO
NPI 1225916208 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1225916208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL.0021172 (CO)
- Practice address
- 26367 Conifer Rd Ste a
Conifer, CO 80433-9137 - Phone
- (303) 838-3900
- NPI assigned
- Aug 26, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kitsap Physical Therapy and Sports Clinic PS Inc
Practice addresses (Care Compare)
26001 Barber Cut Off Rd
Suite 1
Kingston, WA 98346-9401
Phone (360) 297-7050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251008004381 | WA | Practitioner - Physical Therapist in Private Practice | 8729585351 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0021172 | CO | MD | Physical Therapist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current |
Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Locations
26001 Barber Cut Off Rd NE
Ste C1
Kingston, WA 98346
Phone (360) 297-7050
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0021172 | CO | Yes |
Addresses
Primary practice location
26367 Conifer Rd Ste a
Conifer, CO 80433-9137
Mailing address
2400 NW Myhre Rd Ste 101
Silverdale, WA 98383-7672
Phone (360) 598-3764
Other providers in Conifer, CO
- Lori Ellen Lund
- Mach Enterprises LLC Dba Senior Helpers Foothills Co
- Jenny Lynn Madison
- Eric Andrew Makuch
- Monique M. Maly
- Massage Is Healing, LLC
- Megan T McClintock
- Alison Melson
- David Troy Mesmer
- Metro Community Provider Network Inc
All providers in Conifer, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.