Theresa Jeanine Mayhue, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT009624 Issued in GA

Practice address

1860 Tree Brooke LN
Snellville, GA 30078-6615

Phone

(516) 313-8379

NPI assigned

Mar 21, 2007

Sex

Female

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1306961776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TREE BROOKE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786615",
            "telephone_number": "770-985-9567",
            "fax_number": "770-985-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TREE BROOKE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786615",
            "telephone_number": "516-313-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHUE",
        "first_name": "THERESA",
        "middle_name": "JEANINE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT009624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattlet Health
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• John E Maxa, M.D.
• Daniel William Maxwell, DO
• Raoul Mayer, M.D.
• Sebrina Mayo
• Virginia Susan Mayo, D.C.
• Deidra L Mays, LPC
• Mazzawi Family Dentistry, P.C.
• Anne Cown Mazzawi, D.D.S.

• Specialist in Snellville, GA
• Providers in Snellville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.