Gregory Worthing Masiko, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016673 Issued in PA

Practice address

331 Wilmington Pike
Suite 1
Glen Mills, PA 19342-2277

Phone

(610) 558-5866

NPI assigned

Jul 12, 2005

Last updated

Apr 16, 2008By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Motive Sports and Physical Therapy Malvern LLCGroup PAC ID 7113459587, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Motive Sports and Physical Therapy Malvern, LLC

  • Physical Therapist
  • Frazer, PA
  • NPI 1871354159
  Medicare reassignment Care Compare group NPD
• Motive Sports and Physical Therapy, PLLC

  • Physical Therapist
  • Chadds Ford, PA
  • NPI 1578029575
  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Glen Mills, PA
  • NPI 1386694396
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1699773960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471568",
            "telephone_number": "215-629-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WILMINGTON PIKE",
            "address_2": "SUITE 1",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193422277",
            "telephone_number": "610-558-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIKO",
        "first_name": "GREGORY",
        "middle_name": "WORTHING",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HMO",
            "identifier": "1650476",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7158567",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PPO",
            "identifier": "2327928000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samy Malek, DMD
• Maris Grove, Inc (Continuing Care at Maris Grove)
• Maris Grove, Inc (Maris Grove Outpatient Rehabilitation Agency)
• Maris Grove, Inc. (Maris Grove Visiting Nurse Service)
• Jane Marshall, RD, LDN
• Chandra Matadeen-Ali, MD
• Michael Matkov
• Jonathan Mayer, DPT
• Teresa Mazda
• Dawn McBratnie, LPC

• Physical Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.