Active NPI
Theresa Ann Mays
- Physical Therapy Assistant
- Davison, MI
National Provider Identifier
1235792797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502004131
- Practice address
- 5283 N State Rd
Davison, MI 48423-8414 - Phone
- (810) 964-4511
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- 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 Assistant | 225200000X | 5502004131 | MI | Primary |
Addresses
Primary practice location
5283 N State Rd
Davison, MI 48423-8414
Mailing address
5283 N State Rd
Davison, MI 48423-8414
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 |
|---|---|---|---|
| 5502004131 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1235792797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5283 N STATE RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484238414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5283 N STATE RD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484238414",
"telephone_number": "810-964-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS",
"first_name": "THERESA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502004131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davison, MI
- Marie Lynn Mata
- Kathleen Lucille Mataway, RN, BSN, IBCLC
- Eric Mather, D.C.
- Casey Maul, PT
- Roger Allen Mausolf, PA-C
- Marney Ann McCleskey, FNP
- Nathanial Paul McKee, D.C.
- McLaren Health Management Group (McLaren Home Health)
- McLaren Health Management Group (McLarenNow)
- McLaren Health Management Group (McLaren CareNow)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.