Larry Todd Mays

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2043024 Issued in TX

Practice address

402 S John Redditt Dr
Lufkin, TX 75904-3108

Phone

(936) 632-2107

Fax

(936) 632-2108

NPI assigned

Apr 17, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Angelina Rehabilitation Center, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lufkin, TX
  • NPI 1912089962
  NPD (past)

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1841557782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043108",
            "telephone_number": "936-632-2107",
            "fax_number": "936-632-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043108",
            "telephone_number": "936-632-2107",
            "fax_number": "936-632-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "LARRY",
        "middle_name": "TODD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2043024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2043024",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Masters Physical Therapy, Inc.
• Cherry Mathew, MD
• Matthew J Rowley, M.D. P.a.
• Shannon Matthews, PHD , LPCS
• Thomas W May, CRNA
• George Mburu
• Patricia Starr McAdams, M.D.
• Ranleigh Jayne McAdams, L.P.C.
• Kristopher Blake McCall, MD
• Derek McCarter

• Physical Therapy Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.