Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MASON SHAW PT, DPT
NPI 1497491260
Physical Therapist in San Diego, CA

Active since May 05, 2022
5454 EL CAJON BLVD, SAN DIEGO, CA 92115(619) 515-2400 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Sep 7, 2022, May 5, 2022 (3 updates tracked since 2022).

About Mason Shaw Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON SHAW PT, DPT (NPI 1497491260) is an individual physical therapist in San Diego, California, licensed in California (310022) and active in the NPI registry since May 2022. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1497491260
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMASON SHAWCredential: PT, DPT
Location Address5454 EL CAJON BLVDSan Diego, CA 92115-3621
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2022
Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1497491260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 310022
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 33290 (AZ)
5454 EL CAJON BLVD, San Diego, CA 92115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mason Shaw Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406233378
PECOS Enrollment IDI20220513002424

Medicare Billing Reassignments

2

Medicare enrollment records show Mason Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
337 E CORONADO RD STE 201
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 33 clinicians in this Medicare group
Physical Therapist
706 E BELL RD STE 121
Phoenix, AZ 85022
  • Reassigned Medicare billing, Arizona enrollment
  • 436 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Marriage & Family Therapist
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Clinic/Center (Federally Qualified Health Center (FQHC))
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Social Worker (Clinical)
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Shaw's NPI number?

The NPI number for Mason Shaw is 1497491260. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Mason Shaw located?

Mason Shaw practices at 5454 El Cajon Blvd, San Diego, CA 92115. The listed phone number is (619) 515-2400.

What is Mason Shaw's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mason Shaw enrolled in Medicare?

Yes. Mason Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mason Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mason Shaw reassigns Medicare benefits to 2 organizations: Recovia Physical Therapy, LLC (Phoenix, AZ) and Ati Holdings Of Arizona, LLC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mason Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mason Shaw accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Mason Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mason Shaw was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.