Tobi Butler Maze, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005098 Issued in GA

Practice address

101 Concord RDG
Warner Robins, GA 31093-8940

Phone

(478) 396-7275

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

Yes

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.

• Sai Rehab Inc

  • Physical Therapist
  • Macon, GA
  • NPI 1104004431

  Occupational Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2016.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1144583485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CONCORD RDG",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938940",
            "telephone_number": "478-396-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONCORD RDG",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938940",
            "telephone_number": "478-396-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE",
        "first_name": "TOBI",
        "middle_name": "BUTLER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125213A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxim Healthcare Services, Inc
• Ida Mayaka, FNP
• Pamela Mayfield
• Delta Meade Mayhue, FNP
• Ursula Mays
• Amy McBride
• Thomas Kent McBride, M.D.
• Kristie Ann McCann, PA-C
• Miia McCants, CD
• Rory McCarty, DPT

• All providers in Warner Robins, GA
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.