Individual provider Active NPI

Ronald Masone Jr., PT,DPT,CSCS

  • Physical Therapist
  • Commack, NY
National Provider Identifier
1730134875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028127 Issued in NY
Practice address
6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810
Phone
(631) 543-9300
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028127 NY Primary

Addresses

Primary practice location

6268 Jericho Tpke
Suite 3
Commack, NY 11725-2810

Mailing address

24 Emily Dr
South Setauket, NY 11720-2015
Phone (631) 648-4379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060801000241 NY Practitioner - Physical Therapist in Private Practice 5395758742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Li Chiropractic and Physical Therapy PLLCGroup PAC ID 8921336942, 4 clinicians

Practice addresses (Care Compare)

301 Maple Ave
Smithtown, NY 11787-4900
Phone 6315430004103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028127NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Li Chiropractic and Physical Therapy PLLC CurrentSince Aug 13, 2019 Accepting new patients
Comprehensive Physical Therapy, P.C. Physical Therapist PastSince Nov 19, 2012 Accepting new patients

Locations

4200 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 541-1064

260 Middle Country Rd
Ste 7
Selden, NY 11784
Phone (631) 696-4371

301 Maple Ave
Smithtown, NY 11787
Phone (631) 543-0004

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730134875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 EMILY DR",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117202015",
            "telephone_number": "631-648-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 JERICHO TPKE",
            "address_2": "SUITE 3",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252810",
            "telephone_number": "631-543-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASONE",
        "first_name": "RONALD",
        "name_suffix": "Jr.",
        "credential": "PT,DPT,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.