Phyllis Ann Mason, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC00000635 Issued in WA

Practice address

3057 Road H NE
#49
Moses Lake, WA 98837-9609

Phone

(509) 760-6948

NPI assigned

Dec 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1487990735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1291",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988370197",
            "telephone_number": "509-760-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 ROAD H NE",
            "address_2": "#49",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379609",
            "telephone_number": "509-760-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC00000635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Martinez, BS
• Elizabeth Martinez
• Jamie Martinez, MS
• Sheila Rae Martinez
• Emilee Marie Mason
• Wendy Anne Mason, ARNP
• Andrea Matson, DO
• Craig Yukio Matsuda, R.PH
• Hollie L Matthews, MD
• Tiana Maua, BA

• Occupational Therapy Assistant in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.