Active NPI
Mason Snodgrass, PT
- Sports Physical Therapist
- Mercer Island, WA
National Provider Identifier
1841189735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT.PT.70007689
- Practice address
- 2737 77TH Ave SE Ste 214
Mercer Island, WA 98040-2832 - Phone
- (206) 518-9405
- NPI assigned
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT.PT.70007689 | WA | Primary |
Addresses
Primary practice location
2737 77TH Ave SE Ste 214
Mercer Island, WA 98040-2832
Mailing address
500 Monroe Ave NE Apt G12
Renton, WA 98056-8489
Phone (707) 799-8120
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT.PT.70007689 | WA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G4 Athlete LLC | Sports | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1841189735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MONROE AVE NE APT G12",
"city": "RENTON",
"state": "WA",
"postal_code": "980568489",
"telephone_number": "707-799-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 77TH AVE SE STE 214",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402832",
"telephone_number": "206-518-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNODGRASS",
"first_name": "MASON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WA",
"license": "PT.PT.70007689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercer Island, WA
- Siskar PLLC (Helix Sport and Spine)
- Kyle Siskar, D.C.
- Kevin Lawrence Sloan, M.D.
- Laura S. Smith, LAURA S. SMITH, M.S.
- Amy Cathleen Smolinski, ARNP
- Soaper LLC
- Janet Modad Soeprono, M.D.
- Sole Expressions (Island Crest Foot and Ankle Center)
- Celina Solomon, ATC
- Sonja Bradford, Ms CCC-SLP, PLLC (Mercer Island Speech Pathology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.