Patrick Kyle Maycann, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0000006849 Issued in TN

Practice address

1 Veterans Way
Knoxville, TN 37931-3161

Phone

(865) 862-8100

Fax

(865) 690-5981

NPI assigned

Jan 30, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1104380575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W COPELAND DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493922",
            "telephone_number": "865-771-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313161",
            "telephone_number": "865-862-8100",
            "fax_number": "865-690-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCANN",
        "first_name": "PATRICK",
        "middle_name": "KYLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000006849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Randall May, MD
• Shonna W May, M.S., CCC-SLP
• Stephen David May, R.N.
• Tammy Renae May, M.A.,CCC-SLP
• Olesia Maya, PA-C
• Sarah Bibee Mayer, PA
• Stephanie D Mayfield, NNP
• Michael Mayhall, PA
• Bailey Anne Mayhew
• Macy Maynard, CF-SLP

• Physical Therapy Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.