Active NPI
Myra Mason
- Physical Therapist
- Concord, NC
National Provider Identifier
1417326745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P9246
- Practice address
- 280 Concord Pkwy S
Suite 110 B
Concord, NC 28027-6730 - Phone
- (704) 720-4400
- NPI assigned
- Sep 16, 2015
- Last updated
- Sep 16, 2015
- Sex
- Female
- 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 | P9246 | NC | Primary |
Addresses
Primary practice location
280 Concord Pkwy S
Suite 110 B
Concord, NC 28027-6730
Mailing address
280 Concord Pkwy S
Suite 110 B
Concord, NC 28027-6730
Phone (704) 720-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
507 Wakefield Dr
Apt C
Charlotte, NC 28209-3148
Phone (704) 285-8207
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Therapy Corp. | Physical Therapist | Current | Accepting new patients |
| Threshold Therapeutic, LLC | Physical Therapist | Current | Accepting new patients |
Locations
8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225
Interoperability endpoints
- https://api.platform.athenahealth.com/25089/brand/1/csg/1/fhir/r4
- myra.mason.1@25089.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1396380911
Physical Therapist
-
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- Hendersonville, NC
- NPI 1124626148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1417326745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CONCORD PKWY S",
"address_2": "SUITE 110 B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280276730",
"telephone_number": "704-720-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 CONCORD PKWY S",
"address_2": "SUITE 110 B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280276730",
"telephone_number": "704-720-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "MYRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P9246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.