Active NPI
Brandon David Mayes, PT/DPT
- Physical Therapy Clinic/Center
- Stillwater, OK
National Provider Identifier
1215104716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 3944
- Practice address
- 2001 N Perkins Rd
Apt P188
Stillwater, OK 74075-2983 - Phone
- (405) 290-8851
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 3944 | OK | Primary |
Addresses
Primary practice location
2001 N Perkins Rd
Apt P188
Stillwater, OK 74075-2983
Mailing address
2001 N Perkins Rd
Apt P188
Stillwater, OK 74075-2983
Phone (405) 290-8851
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3944 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1215104716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N PERKINS RD",
"address_2": "APT P188",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740752983",
"telephone_number": "405-290-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N PERKINS RD",
"address_2": "APT P188",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740752983",
"telephone_number": "405-290-8851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "BRANDON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PT/DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OK",
"license": "3944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.