Individual provider Active NPI

Curtis A Mason, DPT

  • Physical Therapist
  • Burley, ID
National Provider Identifier
1699833061
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT31411 Issued in FL
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8082156MedicaidID
8N843OtherIDBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170313000555 FL Practitioner - Physical Therapist in Private Practice 5890840144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT31411FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nokomis Physical Therapy LLC Physical Therapist CurrentSince Jul 30, 2017 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist PastSince Jan 9, 2017 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.

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.

Verify at the official NPI Registry.