Jonathan Paul Mayberry, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

79962 Couse Creek Rd
Milton Freewater, OR 97862-7920

Phone

(509) 240-2240

NPI assigned

Jul 27, 2009

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)

Enrolled

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1508097445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79962 COUSE CREEK RD",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978627920",
            "telephone_number": "509-240-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79962 COUSE CREEK RD",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978627920",
            "telephone_number": "509-240-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Mansiba Maganto
• Manford E. Anliker
• Chelsie Lynn Martuscelli, CRM
• Naomi Marie Matteson
• Heidi Jo Mayberry, LMT
• Julie Medrano, CADCII,NCGCII,CGACII
• Jordan Mikel, RDH
• Milton Freewater SNF Operations, LLC
• Andrei Vladimirovich Mitsourov, LMP
• Reyna Mercedes Navarrete, CADC

• Physical Therapist in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.