Garrett Masada, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

297619 Issued in CA

Practice address

2123 Foothill Blvd Ste D
La Verne, CA 91750-2954

Phone

(909) 596-9696

NPI assigned

Nov 7, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1801431473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 LADERA ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542125",
            "telephone_number": "626-641-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 FOOTHILL BLVD STE D",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502954",
            "telephone_number": "909-596-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASADA",
        "first_name": "GARRETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "297619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "masada.garrett@westernu.edu",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "2123 Foothill Blvd Ste D",
            "city": "LA Verne",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917502954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan L. Martel
• Alyssa Marie Martinez
• Antonia Martinez
• Gina Martinez
• Leslie Martinez
• Jeffrey Scott Mason, M.D.
• May Medical Management Corporation
• May Medical Management Corporation
• Kaitlin Nicole McClure, DDS
• Julian McFadden, MKM LOGISTICS

• Orthopedic Physical Therapist in La Verne, CA
• Providers in La Verne, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.