Jon Simon Mayo, P.T., D.P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Practice address

2811 S 102ND St
Tukwila, WA 98168-1870

Phone

(425) 525-6800

NPI assigned

Nov 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Novacare Rehabilitation

  • Physical Disabilities Residential Treatment Facility
  • Oakland, CA
  • NPI 1962460691
  NPD (past)
• Vibrantcare Outpatient Rehabilitation of California Inc

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1154325769
  NPD (past)

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1124395819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 NEWPORT CT NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563273",
            "telephone_number": "425-327-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S 102ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981681870",
            "telephone_number": "425-525-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "JON",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Matt
• Elizabeth Mau
• Max Vision PLLC
• Sandra Rubi May Adrian
• Jennifer Miki Mayeda
• Busingye Enoch Mbareeba Jr.
• Shalon McAlister
• Camella Casendra McBrayer
• Daphne G McBreen
• Jerome Lan McCambridge

• Geriatric Physical Therapist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Geriatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.