Individual provider Active NPI

Lauren Rose Mason, DPT

  • Physical Therapist
  • Maplewood, MN
National Provider Identifier
1699306191
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11199 Issued in MN
Practice address
2399 Ariel St N Ste a
Maplewood, MN 55109-2202
Phone
(651) 773-0354
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11199 MN Primary

Addresses

Primary practice location

2399 Ariel St N Ste a
Maplewood, MN 55109-2202

Mailing address

250 5TH St E Apt 110
Saint Paul, MN 55101-1897
Phone (651) 900-0793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428001941 MN Practitioner - Physical Therapist in Private Practice 9234569575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11199MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Theraplay, LLC Physical Therapist CurrentSince Feb 10, 2020 Accepting new patients
Associated Speech and Language Specialists LLC Past Accepting new patients

Locations

3021 Harbor Ln N
Ste 120
Plymouth, MN 55447
Phone (651) 773-0354

2399 Ariel St N
Ste A
Saint Paul, MN 55109
Phone (651) 773-0354

Organizations & group practices 2

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1699306191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 5TH ST E APT 110",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011897",
            "telephone_number": "651-900-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N STE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092202",
            "telephone_number": "651-773-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "LAUREN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.