Active NPI
Sean Leonard Massa, PT
- Physical Therapist
- Moberly, MO
National Provider Identifier
1386715118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2001007512
- Practice address
- 300 N Morley St Ste I
Moberly, MO 65270-2334 - Phone
- (660) 263-6223
- Fax
- (660) 263-6224
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2001007512 | MO | Primary |
Addresses
Primary practice location
300 N Morley St Ste I
Moberly, MO 65270-2334
Mailing address
300 N Morley St Ste I
Moberly, MO 65270-2334
Phone (660) 263-6223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 W Clay Rd
Lowr Level
Versailles, MO 65084-1177
Phone (877) 870-4976
3333 W 10TH St
Mid America Physical Therapy
Sedalia, MO 65301-2113
Phone (877) 870-4976
610 Hwy O
Gravois Mills, MO 65037-6221
Phone (877) 870-4976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHC Healthcare-Macon LLC | Past | Accepting new patients | |
| Central Missouri Physical Therapy | Past | Accepting new patients | |
| Central Missouri Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Westside Rehab, Inc | Past | Accepting new patients |
Organizations & group practices 5
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 Therapist
- Unionville, MO
- NPI 1144389677
-
- Physical Therapy Clinic/Center
- Moberly, MO
- NPI 1215982095
-
- Physical Therapist
- Columbia, MO
- NPI 1558436592
-
- Skilled Nursing Facility
- Macon, MO
- NPI 1215238589
-
- Physical Therapy Clinic/Center
- Laurie, MO
- NPI 1689768855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386715118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N MORLEY ST STE I",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702334",
"telephone_number": "660-263-6223",
"fax_number": "660-263-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N MORLEY ST STE I",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702334",
"telephone_number": "660-263-6223",
"fax_number": "660-263-6224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSA",
"first_name": "SEAN",
"middle_name": "LEONARD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2001007512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.