Individual provider Active NPI

Benjamin A Mast, MS, OTR/L

  • Occupational Therapist
  • Easton, PA
National Provider Identifier
1639359128
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010581 Issued in PA
Practice address
3929 Easton-Nazareth Hwy.
Suite 202
Easton, PA 18045
Phone
(610) 258-7094
Fax
(610) 258-6107
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010581 PA Primary

Addresses

Primary practice location

3929 Easton-Nazareth Hwy.
Suite 202
Easton, PA 18045

Mailing address

3929 Easton-Nazareth Hwy.
Suite 202
Easton, PA 18045
Phone (610) 258-7094

Other identifiers 1

IdentifierTypeStateIssuer
P00477651OtherPARAILROAD MEDICARE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC010581PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1639359128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 EASTON-NAZARETH HWY.",
            "address_2": "SUITE 202",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18045",
            "telephone_number": "610-258-7094",
            "fax_number": "610-258-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 EASTON-NAZARETH HWY.",
            "address_2": "SUITE 202",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18045",
            "telephone_number": "610-258-7094",
            "fax_number": "610-258-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00477651",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.