Mary Therese Mayhan, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2306 Issued in AL

Practice address

8331 Madison Blvd Ste 300
Madison, AL 35758-2073

Phone

(256) 883-7338

Fax

(256) 883-7135

NPI assigned

Jun 13, 2007

Last updated

Nov 27, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Therapy Link of North Alabama, LLC

  • Rehabilitation Clinic/Center
  • Madison, AL
  • NPI 1447448550
  NPD Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1104020080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD STE 300",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582073",
            "telephone_number": "256-883-7338",
            "fax_number": "256-883-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD STE 300",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582073",
            "telephone_number": "256-883-7338",
            "fax_number": "256-883-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHAN",
        "first_name": "MARY",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naya Topadze Mason, PHARMD
• Matthew Wilson DMD LLC
• Rana Yolanda Mayes, LMHC, LPC
• Mayfield Speech Therapy
• Sydney Mayfield, BSN, RN
• Julia Maynard, CRNP
• Cindy McCutcheon McAdams, D.O.
• Danielle Joy McAllister, CRNA
• Charles Lee McCain, M.D.
• Patricia M McCarthy, LICSW

• Pediatric Occupational Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.