Jacob Mastorakis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL25997 Issued in MA

Practice address

300 Birnie Ave
Springfield, MA 01107-1107

Phone

(413) 233-1270

NPI assigned

Feb 4, 2022

Last updated

Nov 17, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 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.

• Northeast Orthopaedic Alliance PLLC

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1417724170
  Medicare reassignment Care Compare group NPD
• New England Orthopedic Surgeons

  • Orthopaedic Surgery Physician
  • Springfield, MA
  • NPI 1760416630

  Physical Therapist

  Medicare reassignment NPD
• New England Orthopedic Surgeons

  • Specialist
  • Northampton, MA
  • NPI 1710557459
  NPD
• Northeast Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Derry, NH
  • NPI 1477374155
  NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1578217998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-233-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-233-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTORAKIS",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL25997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Donald Masso, MD
• Mary Kathryn Mastalerz, MSW
• Paige Victoria Mastalerz, MD
• Larry Lee Masterson, PA-C
• Alexis Mastorakis
• Kathleen Mastorakis, OTR
• Susan Mastroianni, LCSW
• Catherine Matejcek Davies
• Mia Alexandra Mateo Cruz
• Raquel J Mateo-Taveras

• Physical Therapist in Springfield, MA
• Providers in Springfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.