Individual provider Active NPI

Earl Eugene Mayhew Jr., DPT

  • Physical Therapist
  • Burton, MI
National Provider Identifier
1023238342
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011353 Issued in MI
Practice address
1365 N Belsay Rd
Burton, MI 48509-1602
Phone
(810) 250-6112
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 5501011353 MI Primary

Addresses

Primary practice location

1365 N Belsay Rd
Burton, MI 48509-1602

Mailing address

1365 N Belsay Rd
Burton, MI 48509-1602
Phone (810) 250-6112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806001149 MI Practitioner - Physical Therapist in Private Practice 0446222889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayhew Enterprises, PCGroup PAC ID 2769640655, 2 clinicians

Practice addresses (Care Compare)

1365 N Belsay Rd
Family Physical Therapy
Burton, MI 48509-1602
Phone (810) 250-6112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mayhew Enterprises, PC Physical Therapist CurrentSince Jan 22, 2017 Accepting new patients
Amber Mayhew Homecare Physical Therapist Past Accepting new patients

Locations

1365 N Belsay Rd
Burton, MI 48509
Phone (810) 250-6112

5484 Richfield Rd
Flint, MI 48506
Phone (810) 250-6112

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1023238342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 N BELSAY RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091602",
            "telephone_number": "810-250-6112",
            "fax_number": "810-250-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 N BELSAY RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091602",
            "telephone_number": "810-250-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHEW",
        "first_name": "EARL",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.