Jason Mayberry, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

11108 Issued in OR

Practice address

4445 SW Barbur Blvd
Suite 104
Portland, OR 97239-4047

Phone

(503) 226-4500

Fax

(503) 226-0796

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Live Well Health, PC

  dba Nelson Chiropractic & Functional Neurology

  • Neurology Chiropractor
  • Tigard, OR
  • NPI 1598907842
  NPD (past)
• Richard H. Crokin, DC PC

  dba American Integrated Chiropractic

  • Chiropractor
  • Portland, OR
  • NPI 1497984884
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1235462722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14175 SW SPINNAKER DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 SW BARBUR BLVD",
            "address_2": "SUITE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394047",
            "telephone_number": "503-226-4500",
            "fax_number": "503-226-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "JASON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "11108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Nair MD LLC
• Alma Erendira Maya Perez
• Brenda Maya-Mota, REGISTERED NURSE
• D'Vorah Brockman Maya, QMHP, LPC, NCC
• Michelle Maya, MSW
• Jennifer Purdy Mayberry, MD
• Tyler Maybury, RN
• Meaghan M Mayeda Adkins, LCSW, MSW
• Marissa Mayeda
• Nicole Mayeda, PSY.D.

• Mechanotherapist in Portland, OR
• Providers in Portland, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.