Active NPI
Amberly C Mason, PT
- Physical Therapist
- Daphne, AL
National Provider Identifier
1669650420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH4377
- Practice address
- 30914 Mill Lane
Suite D
Daphne, AL 36526 - Phone
- (251) 533-8064
- NPI assigned
- Feb 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH4377 | AL | Primary |
Addresses
Primary practice location
30914 Mill Lane
Suite D
Daphne, AL 36526
Mailing address
PO Box 7627
Mobile, AL 36670-0627
Phone (251) 625-2170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51547863 | Other | AL | BCBS |
| 720552 | Other | AL | UNITED HEALTHCARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH4377 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Daphne, AL
- NPI 1932386448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1669650420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7627",
"city": "MOBILE",
"state": "AL",
"postal_code": "366700627",
"telephone_number": "251-625-2170",
"fax_number": "251-625-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30914 MILL LANE",
"address_2": "SUITE D",
"city": "DAPHNE",
"state": "AL",
"postal_code": "36526",
"telephone_number": "251-533-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "AMBERLY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51547863",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "720552",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
- Marian Respiratory Care, Inc. (Marian Pharmaceuticals)
- Mark Butts Counseling and Consulting LLC (Mark Butts)
- Juan Gerardo Martinez, DO
- Steve B Maruschak Jr., PHARMACIST
- Melvin Arden Mashner, D.C.
- Micah Halleck Mathews, PHARMD.
- Daniel E. Matthews, M.D.
- Rodney Burnett Matthews, PT
- Marcia E Mayfield, LCSW, PIP
- MBRH LLC (Mobile Bay Rehabilitation Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.