Mayflower LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MAYFLOWER LLC

Practice address

202 Hidden Hollow LN
Cameron, WV 26033-1671

Phone

(304) 639-9818

NPI assigned

Jun 6, 2020

Organization subpart

No

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

Authorized official

Name

Alyssa May-PettitNPI 1558605162

Title

Otrl Owner

Phone

(304) 639-9818

Specialties & licenses 1

Addresses

Other names 1

• MayFlowerTherapy LLC Doing business as

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Christine May-Pettit, OTR/L

  • Pediatric Occupational Therapist
  • Cameron, WV
  • NPI 1558605162
  NPD Authorized official

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1164046090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HIDDEN HOLLOW LN",
            "city": "CAMERON",
            "state": "WV",
            "postal_code": "260331671",
            "telephone_number": "304-639-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIDDEN HOLLOW LN",
            "city": "CAMERON",
            "state": "WV",
            "postal_code": "260331671",
            "telephone_number": "304-639-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "MAY-PETTIT",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OTRL OWNER",
        "authorized_official_telephone_number": "304-639-9818"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "50.110.80.166",
            "affiliation": "N",
            "address_1": "202 Hidden Hollow Ln",
            "city": "Cameron",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260331671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "50.110.80.166",
            "affiliation": "N",
            "address_1": "202 Hidden Hollow Ln",
            "city": "Cameron",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260331671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MayFlowerTherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Renee Hull
• Kelly H Barki DO
• Florence Marie Konwalski
• Lisa Lewis
• Alyssa Christine May-Pettit, OTR/L
• Samantha Marie Miller
• Lucas Morgan, PT
• Mindi Lee Morrow, LPN
• Judith Arlene Murray
• Felicia D'Urzo Niehaus, DEV. SPECIALIST

• All providers in Cameron, WV
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.