Alan Michael Maynard, LAT, ATC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1040000092 Issued in VT

Practice address

213A Patrick Gymnasium
97 Spear St.
Burlington, VT 05405-0001

Phone

(802) 656-7678

NPI assigned

Jun 12, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477595452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CRYSTAL RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054549572",
            "telephone_number": "802-656-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213A PATRICK GYMNASIUM",
            "address_2": "97 SPEAR ST.",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050001",
            "telephone_number": "802-656-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VT",
            "license": "1040000092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Ann May, NP
• Elizabeth Breen May, M.D.
• Jennifer May, R.D., C.D.
• Maya Kunigis Counseling, LLC
• Paul J Mayer, M.D.
• Darren Waldron Maynard, LAC, C.SMA
• Vie Mazur
• Emily Mazzulla, PH.D.
• Francine Mbayu
• John W MC Avoy, RPH

• Specialist in Burlington, VT
• Providers in Burlington, VT by specialty
• Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.