Maya Marie Prince, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2023004476 Issued in MO

Practice address

140 Long Rd Ste 201
Chesterfield, MO 63005-1282

Phone

(636) 265-1505

Fax

(636) 266-2112

NPI assigned

Aug 9, 2023

Sex

Female

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friedrichs Physical Therapy LLCGroup PAC ID 7618290933, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Friedrichs Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • O Fallon, MO
  • NPI 1720481591

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Elite Chiropractic and Performance, LLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1225534829
  NPD
• Synergy Chiropractic Center, LLC

  • Chiropractor
  • Wentzville, MO
  • NPI 1548459530
  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1497438212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688659",
            "telephone_number": "636-385-5277",
            "fax_number": "636-385-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LONG RD STE 201",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051282",
            "telephone_number": "636-265-1505",
            "fax_number": "636-266-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Meyer Rd",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853457",
            "country_code": "US",
            "telephone_number": "636-265-1505",
            "fax_number": "636-266-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "MAYA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023004476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Sue Price, OTR/L
• Destinee Hope Price
• Mallory Jordan Price, LCSW
• Prime HC Chesterfield
• Primedstl, LLC
• Julie Ann Probus-Schad, LCSW
• Jayma Layne Proctor, AU.D.
• Robert James Profumo, MD
• Prorehab PC
• Prorehab, PC

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.