Active NPI
Treyton Maynard
- Speech-Language Pathologist
- Oklahoma City, OK
National Provider Identifier
1124765987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bilingual Pediatric Therapies, Inc. | Current | Accepting new patients | |
| Shepherd Mall Therapy LLC | Past | Accepting new patients | |
| Walker Square Therapy LLC | Past | Accepting new patients | |
| Bilingual Pediatric Therapies | Speech-Language Pathologist | Past | Accepting new patients |
| Walnut Behavioral Therapy LLC | Past | 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.
-
- Hearing and Speech Clinic/Center
- Oklahoma City, OK
- NPI 1376906800
-
- Speech-Language Pathologist
- Oklahoma City, OK
- NPI 1336444884
-
- Physical Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1285136135
-
- Physical Therapy Clinic/Center
- Oklahoma City, OK
- NPI 1982106837
-
- Behavior Analyst
- Oklahoma City, OK
- NPI 1831917467
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.