Individual provider Active NPI

Andrew Mason, PT, DPT

  • Physical Therapist
  • Midlothian, VA
National Provider Identifier
1457125080
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209752 Issued in VA
Practice address
8812 Buffalo Nickel PL
Midlothian, VA 23112-6826
Phone
(706) 580-1246
NPI assigned
Nov 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209752 VA Primary

Addresses

Primary practice location

8812 Buffalo Nickel PL
Midlothian, VA 23112-6826

Mailing address

8812 Buffalo Nickel PL
Midlothian, VA 23112-6826
Phone (706) 580-1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618002529 VA Practitioner - Physical Therapist in Private Practice 1254874209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209752VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imago Rehab, Inc Physical Therapist CurrentSince Feb 17, 2024 Accepting new patients

Locations

110 Canal St
Ste 3
Lowell, MA 01852
Phone (617) 671-0789

500 Unicorn Park Dr
Ste 300
Woburn, MA 01801
Phone (617) 671-0789

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.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1457125080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 BUFFALO NICKEL PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126826",
            "telephone_number": "706-580-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 BUFFALO NICKEL PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126826",
            "telephone_number": "706-580-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.