Stacy Mason, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25415 Issued in CA

Practice address

2801 Larkspur Landing Cir
Larkspur, CA 94939-1834

Phone

(415) 461-8233

Fax

(415) 461-6412

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matrix Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Larkspur, CA
  • NPI 1700821626
  NPD (past)
• Matrix Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1730124116
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992717052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19970 7TH ST E",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LARKSPUR LANDING CIR",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391834",
            "telephone_number": "415-461-8233",
            "fax_number": "415-461-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "STACY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marin Womens Health
• Sean Kevin Maroney, M.D.
• Stephanie Jacquelyn Maroney, M.D.
• Dena Lynn Martin-Josephs, ADDICTION COUNSELOR
• Pamela Martin, MD
• Matrix Rehabilitation, Inc.
• Matthew S Yarborough DDS Inc
• Jason E Mattox, M.P.T.
• Haley Mayenkar
• Stephanie McCaffrey, P.T.

• Physical Therapist in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.