Individual provider Active NPI

Mason Riley McKinney, DPT

  • Physical Therapist
  • Sierra Vista, AZ
National Provider Identifier
1881316024
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32556 Issued in AZ
Practice address
200 E Wilcox Dr
Sierra Vista, AZ 85635-2526
Phone
(520) 459-1386
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 32556 AZ Primary

Addresses

Primary practice location

200 E Wilcox Dr
Sierra Vista, AZ 85635-2526

Mailing address

200 E Wilcox Dr
Sierra Vista, AZ 85635-2526
Phone (520) 459-1386

Other practice location 1

125 S 2nd St
Sierra Vista, AZ 85635-2519
Phone (520) 459-1386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108000561 AZ Practitioner - Physical Therapist in Private Practice 9234506098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainey Pain and Performance PCGroup PAC ID 9830486521, 9 clinicians

Practice addresses (Care Compare)

125 S 2ND St
Sierra Vista, AZ 85635-2519
Phone (520) 459-1386

Merit-based Incentive Payment System (MIPS)

Final score
76.38 of 100Reported as group
Quality
62.82
Improvement activities
40
Cost
70.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32556AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Speech & Language Therapy LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

200 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 459-1386

Organizations & group practices 2

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1881316024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352526",
            "telephone_number": "520-459-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352526",
            "telephone_number": "520-459-1386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352519",
            "country_code": "US",
            "telephone_number": "520-459-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MASON",
        "middle_name": "RILEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.