Daryl Dean Mayes, P.T., D.P.T., M.H.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

125 Issued in ID

Practice address

1976 S Lincoln Ave
Suite 6a
Jerome, ID 83338-6150

Phone

(208) 644-1433

Fax

(208) 644-1434

NPI assigned

Jan 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Mayes Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Jerome, ID
  • NPI 1225235039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033262183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 S LINCOLN AVE",
            "address_2": "SUITE 6A",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833386150",
            "telephone_number": "208-644-1433",
            "fax_number": "208-644-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 S LINCOLN AVE",
            "address_2": "SUITE 6A",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833386150",
            "telephone_number": "208-644-1433",
            "fax_number": "208-644-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "DARYL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T., M.H.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044033",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INSURANCE FUND",
            "identifier": "1002857",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1225235039",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T2797",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "322212",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magic Valley ABA Therapy LLC
• Magic Valley Midwifery, LLC
• Christa A Mahler, BCBA
• Chandi Delyn Marston, LMSW
• Mayes Physical Therapy, Inc
• Melissa D Merrill, CNM, WHNP
• Jamey Lee Miller
• Sarah Elizabeth Miller
• Toni R Miller, FNP
• Robin Ann Moore, BSW

• Physical Therapist in Jerome, ID
• Providers in Jerome, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.