Individual provider Active NPI

Annemarie Danielle Mason, PTA

  • Physical Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1780387274
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA11483 Issued in OH
Practice address
1198 Smiley Ave Ste F
Cincinnati, OH 45240-1866
Phone
(513) 671-6362
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA11483 OH Primary

Addresses

Primary practice location

1198 Smiley Ave Ste F
Cincinnati, OH 45240-1866

Mailing address

140 Bent Tree Dr Apt 1B
Fairfield, OH 45014-6735
Phone (740) 816-7799

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA11483OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT, Inc. PastSince Mar 26, 2023 Accepting new patients
Novacare Rehabilitation of Ohio Inc PastSince Mar 26, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1780387274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BENT TREE DR APT 1B",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450146735",
            "telephone_number": "740-816-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 SMILEY AVE STE F",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401866",
            "telephone_number": "513-671-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ANNEMARIE",
        "middle_name": "DANIELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA11483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.