Active NPI
Mason David Prickett, DPT
- Pediatric Physical Therapist
- Hurricane, WV
National Provider Identifier
1326793316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4381
- Practice address
- 179 Station PL
Hurricane, WV 25526-6578 - Phone
- (304) 760-6300
- NPI assigned
- Feb 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004381 | WV | |
| Pediatric Physical Therapist | 2251P0200X | 4381 | WV | Primary |
Addresses
Primary practice location
179 Station PL
Hurricane, WV 25526-6578
Mailing address
179 Station PL
Hurricane, WV 25526-6578
Phone (304) 760-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Bridge Rd
Charleston, WV 25314-1305
Phone (304) 759-8428
313 Maccorkle Ave SW
South Charleston, WV 25303-1263
Phone (304) 746-3704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004381 | WV | MD | Physical Therapist |
| 4381 | WV | MD | Pediatric Physical Therapist |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Vienna, WV
- NPI 1780634246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1326793316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 STATION PL",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255266578",
"telephone_number": "304-760-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 STATION PL",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255266578",
"telephone_number": "304-760-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICKETT",
"first_name": "MASON",
"middle_name": "DAVID",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT004381",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WV",
"license": "4381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.