Mayra Antonella Brimage, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP042968T Issued in NC

Practice address

2009 Neuse Blvd
New Bern, NC 28560-3470

Phone

(252) 636-9800

NPI assigned

Feb 8, 2024

Last updated

May 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mayra Antonella Rodriguez Former name

Medicare fee-for-service enrollment

Enrolled in TX, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Sports and Physical Therapy LLCGroup PAC ID 0749276426, 60 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  Medicare reassignment Care Compare group NPD
• Endeavor Rehab Center Inc

  • Physical Therapist
  • Austin, TX
  • NPI 1760506232
  Medicare reassignment NPD
• Havelock Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Havelock, NC
  • NPI 1588623847
  NPD
• Endeavor Rehab Center Inc

  dba Athens Physical Therapy

  • Physical Therapist
  • Athens, TX
  • NPI 1548045156
  NPD
• Greenville Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Winterville, NC
  • NPI 1962603266
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1588428601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603470",
            "telephone_number": "252-636-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16020 Park Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786813573",
            "country_code": "US",
            "telephone_number": "512-388-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIMAGE",
        "first_name": "MAYRA",
        "middle_name": "ANTONELLA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP042968T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1389182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "RODRIGUEZ",
            "middle_name": "ANTONELLA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol J Breneman, M.D.
• Heather Cobham Brewer, LCSW
• Meagan Bricker
• Jasmine Bridges
• Tierra Brimage-Stevens
• Ashley Brimmer, FNP-C
• Adam Levi Brinkerhoff, CRNA
• Megan Brinkley
• Jenna Rae Brinn, RN
• Amy Brinson

• Physical Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.