Active NPI
Melinda L Mason, PT
- Physical Therapist
- Tumwater, WA
National Provider Identifier
1306885991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6981 Littlerock Rd SW
Suite 105
Tumwater, WA 98512-7226 - Phone
- (360) 352-7352
- Fax
- (360) 352-7680
- NPI assigned
- Jun 6, 2006
- Last updated
- Jan 16, 2009
- 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 Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
6981 Littlerock Rd SW
Suite 105
Tumwater, WA 98512-7226
Mailing address
5210 Corporate Center Loop SE
Suite D
Lacey, WA 98503-5952
Phone (360) 455-8155
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7574020 | Other | WA | AETNA |
| 8330979 | Medicaid | WA | |
| P00008119 | Other | WA | RAILROAD MEDICARE |
| 7110MA | Other | WA | REGENCE BLUE SHIELD |
| 710883456-98501-A003 | Other | WA | TRICARE |
| 3455MA | Other | WA | REGENCE BLUE SHIELD |
| 710883456-98512-A003 | Other | WA | TRICARE |
| 0169442 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| 8934744 | Other | WA | L&I CRIME VICTIMS |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montesano Physical Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Montesano, WA
- NPI 1083711253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1306885991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 CORPORATE CENTER LOOP SE",
"address_2": "SUITE D",
"city": "LACEY",
"state": "WA",
"postal_code": "985035952",
"telephone_number": "360-455-8155",
"fax_number": "360-455-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6981 LITTLEROCK RD SW",
"address_2": "SUITE 105",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985127226",
"telephone_number": "360-352-7352",
"fax_number": "360-352-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "MELINDA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7574020",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8330979",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00008119",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "7110MA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98501-A003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "3455MA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98512-A003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRY",
"identifier": "0169442",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8934744",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.