Mason Shaw, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

20320 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139

Phone

(520) 635-2260

NPI assigned

May 5, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recovia Physical Therapy LLCGroup PAC ID 4880949148, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Recovia Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1942708334
  Medicare reassignment Care Compare group NPD
• Ati Holdings of Arizona, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309
  Medicare reassignment NPD
• Ideal Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1831353614
  NPD (past)
• Recovia LLC

  dba Recovia LLC Gilbert

  • Clinical Psychologist
  • Gilbert, AZ
  • NPI 1386335859

  Physical Therapist

  NPD (past)
• Recovia LLC

  • Specialist
  • Phoenix, AZ
  • NPI 1427421098
  NPD (past)

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1497491260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 N JOHN WAYNE PKWY",
            "address_2": "STE 120",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85139",
            "telephone_number": "520-635-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MASON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "33290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Care Consultants
• Serenity Home of Maricopa .LLC
• Ehfad M Shah, DMD
• Shared Spaces LLC
• Hessam Sharifi
• Theresa Shibilski
• Shielded Pathways LLC
• Linda Susan Shields, M.A.
• Shining Hearts (Shining Hearts Residential Treatment Center)
• Shining Hearts Residential Treatment Center LLC (Shining Hearts Residential Treatment Center)

• Physical Therapist in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.

Verify at the official NPI Registry.