Mason Baker

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1330 Boiling Springs Rd Ste 2700
Spartanburg, SC 29303-4215

Phone

(864) 582-0019

NPI assigned

Aug 10, 2021

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Moody, AL
  • NPI 1417386434
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1922773191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 TIGER LAKE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635726",
            "telephone_number": "850-288-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD STE 2700",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034215",
            "telephone_number": "864-582-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2846 Moody Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Moody",
            "state": "AL",
            "postal_code": "350043329",
            "country_code": "US",
            "telephone_number": "205-640-0257",
            "fax_number": "205-640-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bruce Baird, MD
• Kelsey Baizan, PA, RD
• Cynthia Corona Baker, DC
• Dawn Baker, RN
• Marcia Baker, RN
• Scott Joseph Baker, D.O.
• Stephanie Baker
• William M Baker, PH.D
• Makenzie White Ballard, DNAP, CRNA
• Sharita Ballard

• Physical Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.