Individual provider Active NPI

John Anthony Mays, CPT

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Cedar Hill, TX
National Provider Identifier
1891365581
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
803479686 Issued in TX
Practice address
1611 Tuley St
Cedar Hill, TX 75104-4959
Phone
(972) 793-0537
NPI assigned
Jun 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 803479686 TX Primary

Addresses

Primary practice location

1611 Tuley St
Cedar Hill, TX 75104-4959

Mailing address

1611 Tuley St
Cedar Hill, TX 75104-4959
Phone (972) 793-0537

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

State licenses

LicenseStateTypeSpecialty
803479686TXMDComprehensive Outpatient Rehabilitation Facility (CORF)

Practice roles

OrganizationSpecialtyStatusNew patients
Bam-Jam-Fitness LLC Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (Corf) CurrentSince Jul 17, 2021 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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1891365581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 TULEY ST",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044959",
            "telephone_number": "972-793-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 TULEY ST",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044959",
            "telephone_number": "972-793-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "803479686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.