Individual provider Active NPI

Treyton Maynard

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1124765987
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
309 SW 59TH St Ste 305
Oklahoma City, OK 73109-8324
Phone
(405) 355-3239
Fax
(405) 212-4270
NPI assigned
May 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

309 SW 59TH St Ste 305
Oklahoma City, OK 73109-8324

Mailing address

2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420
Phone (405) 355-3239

Other practice location 1

2401 NW 23rd St Ste 2D
Oklahoma City, OK 73107-2420
Phone (405) 355-3239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Pediatric Therapies, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Shepherd Mall Therapy LLC PastSince May 16, 2022 Accepting new patients
Walker Square Therapy LLC PastSince May 16, 2022 Accepting new patients
Bilingual Pediatric Therapies Speech-Language Pathologist PastSince May 16, 2022 Accepting new patients
Walnut Behavioral Therapy LLC PastSince Oct 6, 2024 Accepting new patients

Locations

2401 NW 23rd St
Ste 2D
Oklahoma City, OK 73107
Phone (323) 940-5355

Organizations & group practices 5

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1124765987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST STE 2D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072420",
            "telephone_number": "405-355-3239",
            "fax_number": "405-212-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SW 59TH ST STE 305",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731098324",
            "telephone_number": "405-355-3239",
            "fax_number": "405-212-4270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 NW 23rd St Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731072420",
            "country_code": "US",
            "telephone_number": "405-355-3239",
            "fax_number": "405-212-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "TREYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.