Individual provider Active NPI

Mason Spratling, PT, DPT

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1831716455
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
550 Eastgate Dr
Aiken, SC 29803-7688
Phone
(803) 643-3694
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 Primary

Addresses

Primary practice location

550 Eastgate Dr
Aiken, SC 29803-7688

Mailing address

1050 Flowering Almond Dr Apt 1050-F
Graniteville, SC 29829-4116
Phone (706) 799-9068

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200821001905 SC Practitioner - Physical Therapist in Private Practice 9931525870 Reassigns benefits to 1 organization
I20241112000582 GA Practitioner - Physical Therapist in Private Practice 9931525870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Aging Therapist LLCGroup PAC ID 6709285992, 8 clinicians

Practice addresses (Care Compare)

111 E Marion Ave
Suite 128
North Augusta, SC 29841-2935
Phone (706) 252-3332

3712 Executive Ctr Dr
Suite a
Martinez, GA 30907-5098
Phone (706) 252-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Your Aging Therapist LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

3712 Executive Center Dr
Ste A
Martinez, GA 30907
Phone (706) 252-3332

111 E Marion Ave
North Augusta, SC 29841
Phone (706) 252-3332

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1831716455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FLOWERING ALMOND DR APT 1050-F",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "298294116",
            "telephone_number": "706-799-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 EASTGATE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037688",
            "telephone_number": "803-643-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATLING",
        "first_name": "MASON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "550 Eastgate Dr",
            "city": "Aiken",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298037688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.