Mikayla Treynor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101004367 Issued in MI

Practice address

44670 Ann Arbor Rd W Ste 130
Plymouth, MI 48170-4085

Phone

(313) 278-4601

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366

  Speech-Language Pathologist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1003229832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44670 ANN ARBOR RD W STE 130",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704085",
            "telephone_number": "313-278-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44670 ANN ARBOR RD W STE 130",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704085",
            "telephone_number": "313-278-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 Treasure Blvd",
            "address_purpose": "LOCATION",
            "city": "Roscommon",
            "state": "MI",
            "postal_code": "486538293",
            "country_code": "US",
            "telephone_number": "616-894-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREYNOR",
        "first_name": "MIKAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly Tran
• Dayna Trandell
• Transformational Services LLC
• Daniel Trevino
• Stephanie Trevizo
• Abby Marie Tripoli
• Soham Trivedi, PA-C
• Brooklyn Nicole Trnjanin
• Jordon Nicole Trombley, MA, TLLP
• Lauren Taylor Trombly I

• Speech-Language Pathologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.