Individual provider Active NPI

Mason Robert Goldbach, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1952970758
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22616 Issued in NC
Practice address
11550 Common Oaks Dr
Raleigh, NC 27614-7298
Phone
(919) 453-5740
Fax
(919) 453-5741
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 P22616 NC Primary

Addresses

Primary practice location

11550 Common Oaks Dr
Raleigh, NC 27614-7298

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 453-5740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114003314 NC Practitioner - Physical Therapist in Private Practice 1052713666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of North Carolina, P.a.Group PAC ID 7810974375, 49 clinicians

Practice addresses (Care Compare)

11081 Forest Pines Dr
Suite 112
Raleigh, NC 27614-7656
Phone (919) 562-9410

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
61.01
Promoting interoperability
100
Improvement activities
40
Cost
82.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28470MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy, Inc Physical Therapist Current Accepting new patients
Hands on Physical Therapy, Inc Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Hands on Physical Therapy, Inc CurrentSince Aug 1, 2024 Accepting new patients
Orthopaedic Specialists of North Carolina, P.a. CurrentSince Nov 8, 2023 Accepting new patients
Orthopaedic Specialists of North Carolina, P.a. Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients

Locations

1439 N Main St
Fuquay Varina, NC 27526
Phone (919) 557-2111

6602 Knightdale Blvd
Ste 310
Knightdale, NC 27545

11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247

11211 Galleria Ave
Ste 106
Raleigh, NC 27614

11081 Forest Pines Dr
Ste 112
Raleigh, NC 27614
Phone (252) 478-3736

Interoperability endpoints

  • Direct secure messaging: mason.goldbach.1@12529.direct.athenahealth.com

Organizations & group practices 5

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1952970758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-453-5740",
            "fax_number": "919-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 COMMON OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147298",
            "telephone_number": "919-453-5740",
            "fax_number": "919-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBACH",
        "first_name": "MASON",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.