Individual provider Active NPI

Anne Elizabeth Masarik, P.T.

  • Physical Therapist
  • Columbus, TX
National Provider Identifier
1609012822
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1083939 Issued in TX
Practice address
109 Shult Dr Ste 206
Columbus, TX 78934-3015
Phone
(979) 732-8280
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 1083939 TX Primary

Addresses

Primary practice location

109 Shult Dr Ste 206
Columbus, TX 78934-3015

Mailing address

1536 Bowie St
Columbus, TX 78934-2614
Phone (979) 732-8280

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1083939TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Colony Rehab, LLC Physical Therapist Past Accepting new patients
SDS Physical Therapy LP Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1609012822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 BOWIE ST",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789342614",
            "telephone_number": "979-732-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SHULT DR STE 206",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343015",
            "telephone_number": "979-732-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASARIK",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1083939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.