Individual provider Active NPI

Carmine Masi

  • Physical Therapist
  • Enfield, CT
National Provider Identifier
1629150057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007643 Issued in CT
Practice address
101 Phoenix Ave
Suite 2D
Enfield, CT 06082-4471
Phone
(860) 741-2541
Fax
(860) 745-5264
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 007643 CT Primary

Addresses

Primary practice location

101 Phoenix Ave
Suite 2D
Enfield, CT 06082-4471

Mailing address

27 Lakeshore Dr
Farmington, CT 06032-1263

Other identifiers 1

IdentifierTypeStateIssuer
007643OtherCTLICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Physical Therapy Physical Therapist Past Accepting new patients
Grey Physical Therapy & Sports Medicine Center of Enfield, PC Physical Therapist PastSince Jul 30, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629150057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LAKESHORE DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHOENIX AVE",
            "address_2": "SUITE 2D",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824471",
            "telephone_number": "860-741-2541",
            "fax_number": "860-745-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASI",
        "first_name": "CARMINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "007643",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.