Active NPI
Joe Todd Mason, MSPT
- Physical Therapist
- Bowling Green, KY
National Provider Identifier
1710983440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003509
- Practice address
- 2235 Russellville Rd
Bowling Green, KY 42101-5024 - Phone
- (270) 781-1151
- Fax
- (270) 781-5990
- NPI assigned
- Jun 27, 2005
- Last updated
- Aug 25, 2010
- 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 | 003509 | KY | Primary |
Addresses
Primary practice location
2235 Russellville Rd
Bowling Green, KY 42101-5024
Mailing address
2235 Russellville Rd
Bowling Green, KY 42101-5024
Phone (270) 781-1151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000200994 | Other | KY | ANTHEM |
| 5790649 | Other | AETNA | |
| 87000527 | Medicaid | KY |
Other names 1
- J Todd Mason
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003509 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biokinetics Inc. | Physical Therapist | Past | Accepting new patients |
| Biokinetics, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Calvert City, KY
- NPI 1447264916
-
- Physical Therapy Clinic/Center
- Calvert City, KY
- NPI 1528184470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1710983440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 RUSSELLVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421015024",
"telephone_number": "270-781-1151",
"fax_number": "270-781-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 RUSSELLVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421015024",
"telephone_number": "270-781-1151",
"fax_number": "270-781-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "JOE",
"middle_name": "TODD",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "003509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000200994",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5790649",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87000527",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "MASON",
"middle_name": "TODD",
"credential": "MSPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.