Individual provider Active NPI

Mark W. Mascio, LPT

  • Physical Therapist
  • Weirton, WV
National Provider Identifier
1568473585
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001071 Issued in WV
Practice address
414 Penco Rd
Weirton, WV 26062
Phone
(304) 723-3780
Fax
(304) 723-4110
NPI assigned
Aug 11, 2006
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007090 OH
Physical Therapist 225100000X PT006827L PA
Physical Therapist 225100000X 001071 WV Primary

Addresses

Primary practice location

414 Penco Rd
Weirton, WV 26062

Mailing address

414 Penco Rd
Weirton, WV 26062
Phone (304) 723-3780

Other practice location 1

1828 Franklin St
Toronto, OH 43964-1949
Phone (740) 337-1366

Other practice location 2

100 Wilhaven Rd Ste 100
Mc Murray, PA 15317-3094
Phone (724) 941-3727

Other identifiers 5

IdentifierTypeStateIssuer
0156598000MedicaidWV
000745332OtherWVBLUE CROSS/BLUE SHIELD
55071930000OtherWVWV WORKERS COMP BRICKSTRE
151547300OtherWVUS DEPT OF LABOR
55071930003OtherWVTHE HEALTH PLAN BWC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031117000550 WV Practitioner - Physical Therapist in Private Practice 6002720877 Reassigns benefits to 1 organization
I20111216000485 PA Practitioner - Physical Therapist in Private Practice 6002720877
I20240425002072 OH Practitioner - Physical Therapist in Private Practice 6002720877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy Limited PartnershipGroup PAC ID 9830574391, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

1828 Franklin St
Toronto, OH 43964-1949
Phone (740) 337-1366

414 Penco Rd
Weirton, WV 26062-3822
Phone (304) 723-3780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007090OHMDPhysical Therapist
PT006827LPAMDPhysical Therapist
001071WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Summit Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients

Locations

1828 Franklin St
Toronto, OH 43964
Phone (740) 337-1366

100 Wilhaven Rd
McMurray, PA 15317
Phone (724) 941-3727

1425 Main St
Follansbee, WV 26037
Phone (304) 527-4472

47454 Route 52
Kermit, WV 25674
Phone (304) 393-4072

621 N Chester St
New Cumberlnd, WV 26047
Phone (304) 564-1098

414 Penco Rd
Weirton, WV 26062
Phone (304) 723-3780

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1568473585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-3780",
            "fax_number": "304-723-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-3780",
            "fax_number": "304-723-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Toronto",
            "state": "OH",
            "postal_code": "439641949",
            "country_code": "US",
            "telephone_number": "740-337-1366",
            "fax_number": "740-337-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Wilhaven Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153173094",
            "country_code": "US",
            "telephone_number": "724-941-3727",
            "fax_number": "724-941-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCIO",
        "first_name": "MARK",
        "middle_name": "W.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007090",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006827L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156598000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000745332",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP BRICKSTRE",
            "identifier": "55071930000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "151547300",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HEALTH PLAN BWC",
            "identifier": "55071930003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.