MASON JAMES ELLIS (DPT) – Physical Therapist, NPI 1316514094

MASON JAMES ELLIS (DPT) is a healthcare provider. based in Fairfield, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 106917 (IA). The NPI Number for MASON JAMES ELLIS (DPT) is 1316514094

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MASON JAMES ELLIS (DPT)
NPI
1316514094
Phone
(641) 209-1446
Address
1401 S MAIN ST STE 104
Enumeration Date
9 June 2021
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6412091446
Graduation Year
2021 (5 years ago)
PAC ID
3173923950
Group Practice PAC ID
7416297312
Professional Enrollment ID
I20210616000635
Address ID
IA525563771FA1401XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for MASON JAMES ELLIS (DPT)

  • 1401 S MAIN ST STE 104

    FAIRFIELD, IA 525563771

    Phone: (641) 209-1446

    Fax: (641) 209-1447

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210616000635IPhysical Therapist In Private PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,218129$0
97140Therapy procedure using manual technique, each 15 minutes1,710136$0
97530Therapy procedure using functional activities1,12378$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12015$0
97035Application of ultrasound, each 15 minutes8926$0
View full utilization report →

Insurance plans in this area (ZIP 52556)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416297312View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

What is the registry number for MASON JAMES ELLIS (DPT)?
The registry entry for MASON JAMES ELLIS (DPT) shows NPI 1316514094.
Does the public listing show MASON JAMES ELLIS (DPT) as active?
MASON JAMES ELLIS (DPT)'s NPI record reflects an active status in NPPES.
What type of care does MASON JAMES ELLIS (DPT) provide?
MASON JAMES ELLIS (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MASON JAMES ELLIS (DPT) in Fairfield, Iowa?
For routing, start with Fairfield, Iowa for MASON JAMES ELLIS (DPT), then verify phone and hours locally.
Why is information missing for MASON JAMES ELLIS (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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