Mason G Porter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09399 Issued in LA

Practice address

2204 Robin Ave
Hammond, LA 70403-5751

Phone

(985) 542-7878

Fax

(985) 542-4396

NPI assigned

Oct 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Physical Therapy LLCGroup PAC ID 0749564185, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Delta Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1790237188

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cypress PT North LLC

  • Physical Therapist
  • Hammond, LA
  • NPI 1487271755
  Medicare reassignment NPD
• Jones Haber LLC

  • Physical Therapy Clinic/Center
  • Madisonville, LA
  • NPI 1316077191
  Medicare reassignment NPD

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1669923397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 ROBIN AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035751",
            "telephone_number": "985-542-7878",
            "fax_number": "985-542-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 ROBIN AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035751",
            "telephone_number": "985-542-7878",
            "fax_number": "985-542-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MASON",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponchatoula Nursing Home, LLC
• Pontchartrain Cancer Center Inc
• Carol Ann Pooley, MSW, LCSW
• Gelise Marie Porter, DDS
• Marya Jancinta Porter, M.D.
• Norma Bianca Porter, PLPC
• Meagan Possoit, LPC
• Post Acute Medical at Hammond LLC
• Laura Pounders
• Blake Pounds

• Physical Therapist in Hammond, LA
• Providers in Hammond, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.