Truman McCombs Maxey

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2967 Issued in OK

Practice address

4908 S Sheridan Rd
Tulsa, OK 74145-5712

Phone

(918) 984-9153

NPI assigned

May 21, 2021

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spectrum of Hope, LLC

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1669983409
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1043885155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10113 E 29TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741297465",
            "telephone_number": "918-798-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455712",
            "telephone_number": "918-984-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "TRUMAN",
        "middle_name": "MCCOMBS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICAL BOARD- PHYSICAL THERAPY ASSISTANT LICENSE",
            "identifier": "2967",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trumanm@sohtulsa.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4908 S Sheridan Rd",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741455712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Max D. Bird, D.D.S., Inc.
• Wesley Christopher Maxcey, DO
• Aundrae Maxey
• Jim Maxey, DDS
• Meshanyel Maxey, MSW-US
• Maxim Healthcare Services, Inc.
• Maximizing Potential, Inc
• Holly Sue Rose Maxon-Spears, LPC
• Rachel Christine Maxon, MPH
• Maxwell Brown Enterprise, LLC

• Physical Therapy Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.