Mason Roy, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AT533 Issued in ME

Practice address

1 College Cir
Bangor, ME 04401-2999

Phone

(207) 941-7021

NPI assigned

Jun 22, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561161600000",
    "number": "1316508203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLLEGE CIR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012999",
            "telephone_number": "207-941-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE CIR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012999",
            "telephone_number": "207-941-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "MASON",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "ME",
            "license": "AT533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roymas@husson.edu",
            "affiliation": "N",
            "address_1": "1 College Cir",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044012999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew W Rowe, MD
• Rodrigo Roxas, MD
• Sharon K Roxas, MD
• Roy B Corbin DPM
• Lynette Roy, LCSW
• Rodney A Rozario, MD
• Loida Elena Bicera Ruane, LMSW-CC
• Beryl Rubin
• Joshua Rubio-Esteban, LVN
• Nancy L. Ruggeri, RN

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.