Active NPI
Bonnie L Masi, PT
- Physical Therapist
- Port Townsend, WA
National Provider Identifier
1871599340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006571
- Practice address
- 429 Harrison St
Port Townsend, WA 98368-6614 - Phone
- (360) 385-5111
- Fax
- (360) 385-1180
- NPI assigned
- Jun 21, 2005
- Last updated
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00006571 | WA | Primary |
Addresses
Primary practice location
429 Harrison St
Port Townsend, WA 98368-6614
Mailing address
429 Harrison St
Port Townsend, WA 98368-6614
Phone (360) 385-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7097520 | Medicaid | WA | |
| 126233 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101005000224 | WA | Practitioner - Physical Therapist in Private Practice | 2163614538 | Practice locations: Port Townsend, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
429 Harrison St
Port Townsend, WA 98368-6614
Phone (360) 385-5111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1871599340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 HARRISON ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686614",
"telephone_number": "360-385-5111",
"fax_number": "360-385-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 HARRISON ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686614",
"telephone_number": "360-385-5111",
"fax_number": "360-385-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASI",
"first_name": "BONNIE",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7097520",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "126233",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.