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

Scott Reid Mason, PT

Individual provider Physical Therapist · NPI 1366212904

Scott Reid Mason, PT is a Physical Therapist in Private Practice in Provo, Utah. Qualified in 2023, 3 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
3
Licensed in
ID, UT
In the registry since
2024
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1055 N 500 W Ste 122 Bldg C
Provo, UT 84604
Phone: (801) 429-0610
Fax: (801) 429-0629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14193132-2401 (UT)
Physical Therapist Taxonomy 225100000X · Licence 9064 (ID)

Record details

NPI number1366212904
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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