Individual provider Active NPI

Mason Pesquera, PT, DPT

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1578110128
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1344584 Issued in TX
Practice address
5729 Lebanon Rd Ste 120
Frisco, TX 75034-7259
Phone
(469) 731-4888
NPI assigned
Aug 19, 2019
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP048924T PA
Physical Therapist 225100000X 1344584 TX Primary
Physical Therapist 225100000X CP050201T GA
Physical Therapist 225100000X CP048923T SC

Addresses

Primary practice location

5729 Lebanon Rd Ste 120
Frisco, TX 75034-7259

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

4820 Newberry Rd
Gainesville, FL 32607-2249
Phone (301) 767-7782

Other practice location 2

6511 W Loop 1604 N Ste 117
San Antonio, TX 78254-5440
Phone (210) 201-0185

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gainesville ReQuest Physical Therapy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, SC, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210415002163 TX Practitioner - Physical Therapist in Private Practice 1850709668 Reassigns benefits to 4 organizations
I20251026000431 PA Practitioner - Physical Therapist in Private Practice 1850709668 Reassigns benefits to 1 organization
I20251105002290 SC Practitioner - Physical Therapist in Private Practice 1850709668 Reassigns benefits to 3 organizations
I20251227000615 GA Practitioner - Physical Therapist in Private Practice 1850709668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

400 Tower Rd NE
Suite 140
Marietta, GA 30060-9412
Phone (770) 419-8437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP050201TGAMDPhysical Therapist
CP048924TPAMDPhysical Therapist
CP048923TSCMDPhysical Therapist
1344584TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Oct 13, 2025 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Texas Physical Therapy Specialists CurrentSince Apr 6, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Apr 6, 2021 Accepting new patients
Drayer Physical Therapy Institute LLC CurrentSince Oct 13, 2025 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations (25 of 33)

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

152 E Market St
Ste 200
Lewistown, PA 17044
Phone (717) 242-4840

135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

112 Herff Rd
Ste 310
Boerne, TX 78006
Phone (830) 431-9660

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

3515 W FM 120
Ste 103
Denison, TX 75020
Phone (903) 337-1362

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5729 Lebanon Rd
Ste 120
Frisco, TX 75034
Phone (469) 731-4888

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

3351 Regent Blvd
Ste 140A
Irving, TX 75063
Phone (214) 774-2995

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

12413 Judson Rd
Ste 100
Live Oak, TX 78233
Phone (210) 654-0030

12413 Judson Rd
Ste 260
Live Oak, TX 78233
Phone (210) 656-7953

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1578110128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD STE 120",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347259",
            "telephone_number": "469-731-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 Newberry Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326072249",
            "country_code": "US",
            "telephone_number": "301-767-7782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6511 W Loop 1604 N Ste 117",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782545440",
            "country_code": "US",
            "telephone_number": "210-201-0185",
            "fax_number": "210-688-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESQUERA",
        "first_name": "MASON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "CP048924T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1344584",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP050201T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP048923T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gainesville",
            "affiliation": "Y",
            "affiliationName": "ReQuest Physical Therapy",
            "address_1": "4820 Newberry Rd",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326072249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.