Susan Pam Mason, PT, MED

Individual provider Active NPI Physical Therapist · Waterbury Center, VT

NPI 1922049907 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1922049907
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0400002226 (VT)
Practice address
1725 Loomis Hill Rd
Waterbury Center, VT 05677-8257
Phone
(802) 244-5516
Fax
(802) 879-5963
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0400002226 VT Yes

Addresses

Primary practice location

1725 Loomis Hill Rd
Waterbury Center, VT 05677-8257

Mailing address

1725 Loomis Hill Rd
Waterbury Center, VT 05677-8257
Phone (802) 244-5516

Other providers in Waterbury Center, VT

All providers in Waterbury Center, VT · Physical Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.