Active NPI
Walter Masley, PT
- Physical Therapist
- Midland, MI
National Provider Identifier
1669969721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 550107539
- Practice address
- 1876 E Tranquil TRL
Midland, MI 48640-8536 - Phone
- (989) 837-0857
- NPI assigned
- Apr 15, 2018
- Sex
- Male
- 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 | 550107539 | MI | Primary |
Addresses
Primary practice location
1876 E Tranquil TRL
Midland, MI 48640-8536
Mailing address
1876 E Tranquil TRL
Midland, MI 48640-8536
Phone (989) 837-0857
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550107539 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523750400000",
"number": "1669969721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1876 E TRANQUIL TRL",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486408536",
"telephone_number": "989-837-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 E TRANQUIL TRL",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486408536",
"telephone_number": "989-837-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASLEY",
"first_name": "WALTER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-15",
"last_updated": "2018-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "550107539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.