Kayla Ann Maurer, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004604 Issued in MI

Practice address

267 E. Sanilac Rd.
Sandusky, MI 48471

Phone

(810) 648-6300

Fax

(810) 648-6512

NPI assigned

Apr 3, 2017

Sex

Female

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

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.

• Active Rehab Group LLC

  • Rehabilitation Hospital Unit
  • Bad Axe, MI
  • NPI 1669615993
  NPD (past)
• Active Rehab of Michigan

  • Physical Therapist
  • Bad Axe, MI
  • NPI 1235488230
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1154853596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WEST HURON AVE",
            "address_2": "SUITE B",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "48413",
            "telephone_number": "989-269-2700",
            "fax_number": "989-269-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E. SANILAC RD.",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "48471",
            "telephone_number": "810-648-6300",
            "fax_number": "810-648-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaina Diane Martin, FNP
• Martinez Retirement Home
• Kristy Martinez
• Katelynn Martus
• Pamela Mast
• Lindsey Marie McCarty
• Cheryl Ann McCoy, LLPC
• Deann McFarlane, LLMSW
• Rennae Lynn McKenney
• McKenzie Memorial Hospital

• Physical Therapy Assistant in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.