Individual provider Active NPI

Carol Mastroianni, DPT

  • Physical Therapist
  • Mountain BRK, AL
National Provider Identifier
1306209358
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7921 Issued in AL
Practice address
3800 River Run Dr
Suite 102
Mountain BRK, AL 35243-4701
Phone
(205) 970-2350
Fax
(205) 970-2165
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7921 AL Primary

Addresses

Primary practice location

3800 River Run Dr
Suite 102
Mountain BRK, AL 35243-4701

Mailing address

2823 Greystn Com Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001637 AL Practitioner - Physical Therapist in Private Practice 0042518599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Liberty Park LLCGroup PAC ID 8729277611, 7 clinicians

Practice addresses (Care Compare)

3800 River Run Dr
Suite 102
Mountain BRK, AL 35243-4719
Phone (205) 970-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH7921ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Liberty Park LLC Physical Therapist CurrentSince Feb 12, 2016 Accepting new patients
Therapy South Patchwork Farms LLC Physical Therapist Past Accepting new patients
Therapy South Cullman LLC Physical Therapist Past Accepting new patients

Locations

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

3800 River Run Dr
Ste 102
Mountain Brk, AL 35243
Phone (205) 970-2350

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1306209358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTN COM BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3651",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIVER RUN DR",
            "address_2": "SUITE 102",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352434701",
            "telephone_number": "205-970-2350",
            "fax_number": "205-970-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROIANNI",
        "first_name": "CAROL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.