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

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

Other identifiers 2

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 and National Provider Directory roles.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125126",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51523367",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danica Mason, PT, DPT
• Naya Topadze Mason, PHARMD
• Matthew Wilson DMD LLC
• Rana Yolanda Mayes, LMHC, LPC
• Mayfield Speech Therapy
• 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.