Individual provider Active NPI

Stephen Mayo, DPT

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1427740430
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016573 Issued in GA
Practice address
309 Pirkle Ferry Rd Ste C200
Cumming, GA 30040-2550
Phone
(770) 624-0845
Fax
(770) 764-1265
NPI assigned
May 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016573 GA Primary

Addresses

Primary practice location

309 Pirkle Ferry Rd Ste C200
Cumming, GA 30040-2550

Mailing address

8130 Gracen Dr
Gainesville, GA 30506-8070
Phone (770) 624-0845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711002663 GA Practitioner - Physical Therapist in Private Practice 9537528377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

2900 McEver Rd
Gainesville, GA 30504-5516
Phone (978) 940-1101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016573GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group Inc. Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Mayo Therapeutic Interventions LLC CurrentSince Sep 8, 2025 Accepting new patients
Fox Rehabilitation Ga, LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Northeast Georgia Rehabilitation Center,Inc PastSince May 1, 2023 Accepting new patients

Locations

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

309 Pirkle Ferry Rd
Ste C200
Cumming, GA 30040
Phone (770) 624-0845

2900 McEver Rd
Gainesville, GA 30504
Phone (678) 940-1101

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1427740430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 GRACEN DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305068070",
            "telephone_number": "770-624-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PIRKLE FERRY RD STE C200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402550",
            "telephone_number": "770-624-0845",
            "fax_number": "770-764-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "STEPHEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.