Individual provider Active NPI

Lisa-Ann L. Mayotte, PT

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1891196622
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1432 Issued in OK
Practice address
1300 McGee Dr
Suite 113
Norman, OK 73072-5774
Phone
(405) 202-4112
Fax
(405) 360-8888
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1432 OK Primary

Addresses

Primary practice location

1300 McGee Dr
Suite 113
Norman, OK 73072-5774

Mailing address

1300 McGee Dr
Suite 113
Norman, OK 73072-5774
Phone (405) 202-4112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therafun LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1891196622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MCGEE DR",
            "address_2": "SUITE 113",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725774",
            "telephone_number": "405-202-4112",
            "fax_number": "405-360-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MCGEE DR",
            "address_2": "SUITE 113",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725774",
            "telephone_number": "405-202-4112",
            "fax_number": "405-360-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOTTE",
        "first_name": "LISA-ANN",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.