Heather Rose Maynard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2697 Issued in NM

Practice address

4100 Southern Blvd SE
Suite 180-a
Rio Rancho, NM 87124-4817

Phone

(505) 896-4978

NPI assigned

Oct 20, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Armada Physical Therapy of Albuquerque LLC

  dba Armada Physical Therapy

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  NPD (past)
• Rio Rancho Physical Therapy

  • Orthopedic Physical Therapist
  • Rio Rancho, NM
  • NPI 1104869387
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194714246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 STONEYBROOK PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205513",
            "telephone_number": "505-883-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SOUTHERN BLVD SE",
            "address_2": "SUITE 180-A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244817",
            "telephone_number": "505-896-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Maturino
• Ann Maxwell, LISW, LCSW
• Ashley Maxwell
• David Krafft May, D.O.
• Sabrina S. Mayes
• Brenda Lynn Mayne, PH.D.
• Chris Elayne Mayton, LMSW
• Elizabeth McBride
• Jayce McBroom
• Lindsay McCabe

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.