Individual provider Active NPI

Emily Maseth, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1629854054
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
161 Leverington Ave Ste 1004
Philadelphia, PA 19127-2076
Phone
(267) 332-8102
NPI assigned
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 Primary

Addresses

Primary practice location

161 Leverington Ave Ste 1004
Philadelphia, PA 19127-2076

Mailing address

161 Leverington Ave Ste 1004
Philadelphia, PA 19127-2076
Phone (267) 332-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019001759 PA Practitioner - Physical Therapist in Private Practice 4981050408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Sports Therapy LLCGroup PAC ID 9537431457, 4 clinicians

Practice addresses (Care Compare)

161 Leverington Ave
Suite 1004
Philadelphia, PA 19127-2076
Phone (267) 332-8102

3425 Conrad St
Philadelphia, PA 19129-1636
Phone (267) 332-8102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Sports Therapy LLC CurrentSince Aug 2, 2023 Accepting new patients

Locations

161 Leverington Ave
Ste 1004
Philadelphia, PA 19127
Phone (267) 332-8102

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, 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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1629854054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 LEVERINGTON AVE STE 1004",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272076",
            "telephone_number": "267-332-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 LEVERINGTON AVE STE 1004",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191272076",
            "telephone_number": "267-332-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASETH",
        "first_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.