Richard Paul Mastalski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1772 Issued in WV

Practice address

415 Benedum Dr
Bridgeport, WV 26330-1503

Phone

(304) 842-9887

NPI assigned

Apr 11, 2019

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

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WV Therapy Services LLCGroup PAC ID 8123106416, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sunset Services LLC

  • Occupational Therapist
  • Peterstown, WV
  • NPI 1093602435
  Medicare reassignment NPD Authorized official
• WV Therapy Services LLC

  • Specialist
  • Bridgeport, WV
  • NPI 1063692333

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1720541287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FAIRWAY VIEW DR",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "249635048",
            "telephone_number": "304-960-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BENEDUM DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301503",
            "telephone_number": "304-842-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTALSKI",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Dian Mason, ATC
• Matthew Daniel Mason, DC
• Michael W Mason, D.C.
• Rosemary Mason, LGSW
• Shannon Mason, OTR/L
• Gwendolyn S Masterman, MOTR/L
• Chelsea Maust
• Nathaniel Brandon Maving, FNP-BC
• Leslie D. Mavromatis, LICSW
• Morgan Mayfield

• Occupational Therapist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.