Active NPI
Curtis A Mason, DPT
- Physical Therapist
- Burley, ID
National Provider Identifier
1699833061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31411
- Practice address
- 1200 Oakley Ave
Burley, ID 83318-1840 - Phone
- (208) 678-2155
- Fax
- (208) 678-2153
- NPI assigned
- Dec 5, 2006
- Last updated
- Aug 4, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2031 | ID | |
| Physical Therapist | 225100000X | PT31411 | FL | Primary |
Addresses
Primary practice location
1200 Oakley Ave
Burley, ID 83318-1840
Mailing address
1200 Oakley Ave
Burley, ID 83318-1840
Phone (208) 678-2155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8082156 | Medicaid | ID | |
| 8N843 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT31411 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nokomis Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Physical Therapist | Past | Accepting new patients |
| Community Support Center, Inc. | Past | Accepting new patients | |
| New Mexico Physical Therapists Inc | Past | Accepting new patients |
Locations
1600 Englewood Rd
Englewood, FL 34223
Phone (941) 375-8734
109 Laurel Rd E
Nokomis, FL 34275
Phone (941) 375-8734
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Rehabilitation Clinic/Center
- Nokomis, FL
- NPI 1780964973
Physical Therapist
-
- Physical Therapy Clinic/Center
- Burley, ID
- NPI 1255567236
-
- Community/Behavioral Health Agency
- Twin Falls, ID
- NPI 1093938599
-
- Physical Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
Physical Therapist
-
dba VibrantCare Rehabilitation
- Physical Therapy Clinic/Center
- Albuquerque, NM
- NPI 1306842828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1699833061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OAKLEY AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833181840",
"telephone_number": "208-678-2155",
"fax_number": "208-678-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OAKLEY AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833181840",
"telephone_number": "208-678-2155",
"fax_number": "208-678-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "CURTIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2031",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8082156",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8N843",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.