Individual provider Active NPI

Maya Ann Hightower, PT

  • Physical Therapist
  • Mishawaka, IN
National Provider Identifier
1891663365
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05016205A Issued in IN
Practice address
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone
(574) 247-9441
Fax
(574) 247-9442
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 05016205A IN Primary

Addresses

Primary practice location

60160 Bodnar Blvd
Mishawaka, IN 46544-9338

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407

Other practice location 1

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (574) 247-9441

Other practice location 2

5230 Beck Dr Ste 7
Elkhart, IN 46516-9059
Phone (574) 247-9441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126003034 IN Practitioner - Physical Therapist in Private Practice 1759873607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLC 148 clinicians

Practice addresses (Care Compare)

60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone (574) 247-9441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05016205AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics LLC Physical Therapist CurrentSince Oct 9, 2025 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Oct 9, 2025 Accepting new patients

Locations

5230 Beck Dr
Ste 7
Elkhart, IN 46516
Phone (574) 274-9441

60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159

Interoperability endpoints

  • Direct secure messaging: maya.hightower.p4@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: maya.hightower.1@13070.direct.athenahealth.com

Organizations & group practices 11

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1891663365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60160 BODNAR BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449338",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53880 Carmichael Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351567",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5230 Beck Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465169059",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "fax_number": "574-247-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "MAYA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016205A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.