Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mason Riley Smith

Individual provider Physical Therapist · NPI 1285467662

Mason Riley Smith is a Physical Therapist in Private Practice in Cicero, New York. Graduated from State University of Ny Upstate Medical University in 2024, 2 years ago. Practices with Onondaga Physical Therapy, LLC, a 25-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

6265 State Route 31
Cicero, NY 13039-8751
Phone: (315) 635-5000
Fax: (315) 458-2975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 19 E Genesee St, Baldwinsville, NY 13027-2501 — (315) 635-5000
  • 8390 Oswego Rd, Liverpool, NY 13090-1002 — (315) 635-5000
  • 4107 W Genesee St Ste 300, Syracuse, NY 13219-1952 — (315) 635-5000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 052878 (NY)

Record details

NPI number1285467662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address8390 Oswego Rd, Liverpool, NY 13090-1002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2024 (2 years in practice)
Group practice Onondaga Physical Therapy, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cicero