Richard Alan Mayer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1905-024 Issued in WI

Practice address

S22W22660 Broadway
# 3A
Waukesha, WI 53186-8100

Phone

(262) 549-1118

Fax

(262) 549-1118

NPI assigned

Apr 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Orthopedic & Sports Therapy SC

  • Physical Therapist
  • Waukesha, WI
  • NPI 1437323961
  NPD (past) Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1215101985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S22W22660 BROADWAY",
            "address_2": "# 3A",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868100",
            "telephone_number": "262-549-1118",
            "fax_number": "262-549-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S22W22660 BROADWAY",
            "address_2": "# 3A",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868100",
            "telephone_number": "262-549-1118",
            "fax_number": "262-549-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1905-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40023900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith L Mausner, M.D.
• Marjorie F Maxwell, RN
• Sherita Maxwell, LPC, CSAC
• Jennifer J May, LPC
• Alexa Ann Mayer, PHARMD
• Leticia Mayes, LPC
• Jennifer Mayotte, RN
• Angela Mazza, RDMS
• Thomas McAdams, QTT
• Kieran McAvoy, MD

• All providers in Waukesha, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.