NPIMap

Organization Active NPI

Mason Valley Physical Therapy, Inc.

  • Physical Therapist
  • Yerington, NV
National Provider Identifier
1790050490
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1797 Issued in NV
Legal business name
MASON VALLEY PHYSICAL THERAPY, INC.
Practice address
513 W Bridge St
Ste E
Yerington, NV 89447-2695
Phone
(775) 463-4500
Fax
(775) 463-4545
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Carrie Lee Baker, PT, DPT
Title
President/Physical Therapist
Phone
(775) 463-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1797 NV Primary

Addresses

Primary practice location

513 W Bridge St
Ste E
Yerington, NV 89447-2695

Mailing address

513 W Bridge St
Ste E
Yerington, NV 89447-2695
Phone (775) 463-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000428 NV Part B Supplier - Clinic/Group Practice 3678736766 Receives reassigned benefits from 2 practitioners
Practice locations: Yerington, NV

National Provider Directory

National Provider Directory

Locations

513 W Bridge St
Ste E
Yerington, NV 89447
Phone (775) 463-4500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1790050490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W BRIDGE ST",
            "address_2": "STE E",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472695",
            "telephone_number": "775-463-4500",
            "fax_number": "775-463-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W BRIDGE ST",
            "address_2": "STE E",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472695",
            "telephone_number": "775-463-4500",
            "fax_number": "775-463-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON VALLEY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "775-463-4500",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yerington, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.