Active NPI
Tammy P Mayo, PT, ATC
- Physical Therapist
- Avon, CT
National Provider Identifier
1184758039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007103
- Practice address
- 51 E Main St
Avon, CT 06001-3821 - Phone
- (860) 404-2461
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007103 | CT | Primary |
| Athletic Trainer | 2255A2300X | 000082 | CT |
Addresses
Primary practice location
51 E Main St
Avon, CT 06001-3821
Mailing address
109 Boylston St
Newington, CT 06111-4301
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007103 | CT | MD | Clinical Social Worker |
| 000082 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1184758039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BOYLSTON ST",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061114301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 E MAIN ST",
"city": "AVON",
"state": "CT",
"postal_code": "060013821",
"telephone_number": "860-404-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "TAMMY",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007103",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "000082",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.