Mason Riley Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052878 Issued in NY

Practice address

6265 State Route 31
Cicero, NY 13039-8751

Phone

(315) 635-5000

Fax

(315) 458-2975

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By 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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of Ny Upstate Medical University, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Cicero, NY
  • NPI 1225263536
  Medicare reassignment Care Compare group NPD
• Onondaga Physical Therapy

  • Physical Therapist
  • Wolcott, NY
  • NPI 1689931461
  NPD
• Allied Spine and Sports Chiropractic, PC

  • Chiropractor
  • Syracuse, NY
  • NPI 1649601022
  NPD (past)
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Baldwinsville, NY
  • NPI 1548367139
  NPD (past)

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1285467662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000",
            "fax_number": "315-622-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 STATE ROUTE 31",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398751",
            "telephone_number": "315-635-5000",
            "fax_number": "315-458-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4107 W Genesee St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132191952",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-492-1203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130272501",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-635-3663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 Oswego Rd",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130901002",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-622-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MASON",
        "middle_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Bernadette Shively, RN
• Fareed Shuhaiber
• Marc Sloane
• Christina M Smith, LPN
• Jessica L Smith, DPT
• Alexander Sonesson, DMD
• Sonus-USA, Inc
• Margaret L Southard, SP ED
• Teresa Spinella, RN
• Marie D Stahl, NP NURSEPRACTITIONER

• Physical Therapist in Cicero, NY
• Providers in Cicero, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.