Maya R Mehta, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP0078221 Issued in NH

Practice address

24 Old Etna Rd
Lebanon, NH 03766-1937

Phone

(800) 465-3203

NPI assigned

Jul 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1164700167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ALTA BLVD UNIT 307",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037663405",
            "telephone_number": "980-305-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OLD ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661937",
            "telephone_number": "800-465-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Alta Blvd Unit 307",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037663405",
            "country_code": "US",
            "telephone_number": "980-305-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MAYA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13084",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "CP0078221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Nicholas Mecchella II, D.O.
• Roseanne M Medeiros, APRN
• Pourya Medhati, MD
• Kristi Lee Medill, CRNA
• Kenneth R. Meehan, MD
• Jennifer Lynn Meijer, PHD, MPH, RD
• Herman Cody Meissner, M.D.
• Karson Scott Melcer, APRN
• Alice P. Mello, PA-C
• Oleksiy Melnyk, MD

• Physical Therapist in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.