NPIMap

Individual provider Active NPI

Priscilla Lou Raasch-Mason, PT, MSPT, MS

  • Physical Therapist
  • Ruskin, FL
National Provider Identifier
1588039804
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29669 Issued in FL
Practice address
827 Cypress Village Blvd.
Suite a
Ruskin, FL 33573
Phone
(813) 633-0669
Fax
(813) 633-0881
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29669 FL Primary

Addresses

Primary practice location

827 Cypress Village Blvd.
Suite a
Ruskin, FL 33573

Mailing address

827 Cypress Village Blvd.
Suite a
Ruskin, FL 33573
Phone (813) 633-0669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT29669FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garner Physical Therapy Center LLC Physical Therapist PastSince Sep 1, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1588039804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CYPRESS VILLAGE BLVD.",
            "address_2": "SUITE A",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-633-0669",
            "fax_number": "813-633-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CYPRESS VILLAGE BLVD.",
            "address_2": "SUITE A",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-633-0669",
            "fax_number": "813-633-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAASCH-MASON",
        "first_name": "PRISCILLA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "PT, MSPT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.