MIA ROSE MASSARO
NPI 1518525906
Occupational Therapist - Pediatrics in White Bear Lake, MN

Active since May 31, 2019
2555 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110(651) 683-2953 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mia Rose Massaro NPPES

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

MIA ROSE MASSARO (NPI 1518525906) is an individual pediatrics provider in White Bear Lake, Minnesota, licensed in Minnesota (6028) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1518525906
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameMIA ROSE MASSARO
Location Address2555 COUNTY ROAD E EWhite Bear Lake, MN 55110-4906
Mailing Address6776 Lake Dr Ste 220Lino Lakes, MN 55014-1192 · (651) 784-7007
Sole ProprietorYes
Enumeration DateMay 31, 2019
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1518525906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License✔ Licensed in MN · 6028
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
2555 COUNTY ROAD E E, White Bear Lake, MN 55110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Rose Massaro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mia Massaro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
6776 LAKE DR, SUITE 220
Lino Lakes, MN 55014
  • Reassigned Medicare billing, Minnesota enrollment
  • 13 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 3

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

Occupational Therapist (Pediatrics)
2555 COUNTY ROAD E E
WHITE BEAR LAKE, MN 55110
Family Medicine
2555 COUNTY ROAD E E
WHITE BEAR LAKE, MN 55110
Occupational Therapist (Pediatrics)
2555 COUNTY ROAD E E
WHITE BEAR LAKE, MN 55110

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 Mia Massaro's NPI number?

The NPI number for Mia Massaro is 1518525906. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Mia Massaro located?

Mia Massaro practices at 2555 County Road E E, White Bear Lake, MN 55110. The listed phone number is (651) 683-2953.

What is Mia Massaro's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

Is Mia Massaro enrolled in Medicare?

Yes. Mia Massaro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mia Massaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mia Massaro reassigns Medicare benefits to Advance Occupational Therapy, LLC (Lino Lakes, MN). The 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 Mia Massaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mia Massaro was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.