Individual provider Active NPI

Paige Mayhew, DPT

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1083450845
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6474 Issued in OK
Practice address
2412 NW 178TH St
Edmond, OK 73012-4565
Phone
(405) 285-9659
Fax
(405) 285-8948
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6474 OK Primary

Addresses

Primary practice location

2412 NW 178TH St
Edmond, OK 73012-4565

Mailing address

2412 NW 178TH St
Edmond, OK 73012-4565
Phone (405) 285-9659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240724003068 OK Practitioner - Physical Therapist in Private Practice 2567908791 Reassigns benefits to 1 organization
I20260414001067 PA Practitioner - Physical Therapist in Private Practice 2567908791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Solutions,IncGroup PAC ID 8224059712, 7 clinicians

Practice addresses (Care Compare)

658 Route 739
Suite 5
Lords Valley, PA 18428-6086
Phone (570) 775-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6474OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Function Physical Therapy, LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients

Locations

2412 NW 178th St
Edmond, OK 73012
Phone (405) 285-9659

3125 N Sooner Rd
Ste 150
Edmond, OK 73034
Phone (405) 285-9659

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1083450845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 NW 178TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124565",
            "telephone_number": "405-285-9659",
            "fax_number": "405-285-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 NW 178TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124565",
            "telephone_number": "405-285-9659",
            "fax_number": "405-285-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHEW",
        "first_name": "PAIGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.