Individual provider Active NPI

Sophia Masri, PT, DPM, MBA

  • Podiatrist
  • Key Largo, FL
National Provider Identifier
1639308166
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3538 Issued in FL
Practice address
50 Barracuda LN
Key Largo, FL 33037-3733
Phone
(789) 348-1751
Fax
(786) 901-8330
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006454 NY
Primary Podiatric Medicine Podiatrist 213EP1101X 006454 NY
Radiology Podiatrist 213ER0200X 006454 NY
Sports Medicine Podiatrist 213ES0000X 006454 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 006454 NY
Foot Surgery Podiatrist 213ES0131X 006454 NY
Physical Therapist 225100000X 19364 FL
Physical Therapist 225100000X 023385 NY
Geriatric Physical Therapist 2251G0304X 19364 FL
Neurology Physical Therapist 2251N0400X 19364 FL
Sports Physical Therapist 2251S0007X 19364 FL
Orthopedic Physical Therapist 2251X0800X 19364 FL
Podiatrist 213E00000X PO3538 FL Primary

Addresses

Primary practice location

50 Barracuda LN
Key Largo, FL 33037-3733

Mailing address

2900 SW 79TH Ave
Miami, FL 33155-2507
Phone (786) 348-1751

Other practice location 1

2900 SW 79th Ave
Miami, FL 33155-2507
Phone (786) 348-1751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121012000374 FL Practitioner - Podiatry 4981863370 Reassigns benefits to 2 organizations
I20151207001860 FL Practitioner - Physical Therapist in Private Practice 4981863370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Florida International Univ, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Rivers Family Practice PLLCGroup PAC ID 7810023421, 7 clinicians

Practice addresses (Care Compare)

1231 S Patrick Dr
Satellite Beach, FL 32937-3956
Phone (321) 622-5432

50 Barracuda LN
Key Largo, FL 33037-3733
Phone (786) 348-1751

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue389
Removal or shaving of skin growth290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
19364FLMDClinical Social Worker
006454NYMDAcupuncturist
PO3538FLMDPodiatrist
023385NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Family Practice PLLC CurrentSince Sep 1, 2025 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 12, 2025 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

1231 South Patrick Dr
Satellite Beach, FL 32937
Phone (321) 622-5432

Interoperability endpoints

  • Direct secure messaging: sophia.masri@989632778731524.direct.elationemr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1639308166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SW 79TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552507",
            "telephone_number": "786-348-1751",
            "fax_number": "786-901-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BARRACUDA LN",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330373733",
            "telephone_number": "789-348-1751",
            "fax_number": "786-901-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 SW 79th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331552507",
            "country_code": "US",
            "telephone_number": "786-348-1751",
            "fax_number": "786-901-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASRI",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPM, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006454",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006454",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "006454",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "006454",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006454",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006454",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023385",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "19364",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "19364",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "19364",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "19364",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

Verify at the official NPI Registry.