Brianna Mayo, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2983 Issued in AR

Practice address

1101 Edgewood Dr
O Fallon, IL 62269-3721

Phone

(850) 322-6182

NPI assigned

Sep 26, 2012

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab PT FL LLCGroup PAC ID 7416345921, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehab PT FL LLC

  • Physical Therapist
  • Orlando, FL
  • NPI 1336719624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1326399643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EDGEWOOD DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EDGEWOOD DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693721",
            "telephone_number": "850-322-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin R Matos, BS, MS, CCC-SLP/L
• Gregory M Maue, DC
• Rosalie Maul
• May Family Chiropractic
• Savannah Gabrielle May
• Lori Ann McAllister, LCPC
• Nicole L McBride, PHARMD
• Abriel Marie-Slater McCabe, RBT
• Destiny McCain, LCPC
• David Allen McCarthy, MD

• Physical Therapist in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.