Jordan Beth Maeda, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6570 Issued in MS

Practice address

7213 S Siwell Rd Ste a
Byram, MS 39272-9776

Phone

(601) 346-9191

Fax

(601) 346-5011

NPI assigned

Aug 30, 2017

Last updated

Oct 4, 2018By 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

• Jordon Beth Davis Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment Care Compare group
• Bay State Physical Therapy of Randolph Inc

  dba Milton Chiropractic and Rehabilitation INC

  • Chiropractor
  • Quincy, MA
  • NPI 1316507627
  NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)
• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1285958348
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1689191694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-327-6705",
            "fax_number": "662-327-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 S SIWELL RD STE A",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729776",
            "telephone_number": "601-346-9191",
            "fax_number": "601-346-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043419",
            "country_code": "US",
            "telephone_number": "910-483-9300",
            "fax_number": "910-483-9302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAEDA",
        "first_name": "JORDAN",
        "middle_name": "BETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDON",
            "last_name": "DAVIS",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shamekias S Lampkin, LPC-S
• Tyler Lantz, DPT
• LD-Byram, LLC (Southern Family Dental)
• Zinnette Cherlyn Lee, DC
• Tanaucha Terrelle Lewis, LPC
• Chatina Spears Martin, NP
• Kimberly Mays, LCSW
• Morgan Aarionne Mays, CF-SLP
• Kontessa McClendon, M.S., CCC-SLP
• Kelly Marie McKee, MPT

• Physical Therapist in Byram, MS
• Providers in Byram, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.