Maya Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19750 Issued in FL

Legal business name

MAYA PHYSICAL THERAPY, INC

Practice address

5745 S University Dr
Davie, FL 33328-6114

Phone

(954) 252-9619

Fax

(954) 252-9620

NPI assigned

Aug 16, 2010

Organization subpart

No

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

Authorized official

Name

Sanjaimon K Naduparambil, PTNPI 1801829817

Title

President

Phone

(954) 274-0415

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjaimon Naduparambil II

  • Physical Therapist
  • Weston, FL
  • NPI 1801829817
  Medicare reassignment NPD Authorized official
• Aparna Ajay Joshi, PT

  • Physical Therapist
  • Davie, FL
  • NPI 1982046637
  NPD (past)
• Subin Jose Puthenkandam, PT

  • Physical Therapist
  • Davie, FL
  • NPI 1205171881
  NPD (past)
• Eric Y Reznik, PSY.D.

  • Clinical Psychologist
  • Hallandale Beach, FL
  • NPI 1144454323
  NPD (past)
• Carlos Abel Satulovsky, MD

  • Psychiatry Physician
  • Lake Park, FL
  • NPI 1790773281
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1962717868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 TURQUOISE TRL",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313182",
            "telephone_number": "954-252-9619",
            "fax_number": "954-252-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286114",
            "telephone_number": "954-252-9619",
            "fax_number": "954-252-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "NADUPARAMBIL",
        "authorized_official_first_name": "SANJAIMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-274-0415",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004243200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raya L Mavros
• Max Drugs Inc
• Dorothy Maxi
• Lynn Maxi
• Sendy Estephania Maxime
• Mardjhana Mayard
• Maibelin Mayedo
• Craig Adam Mayer, D.C.
• Ann Bernadette Mayfield-Clarke, PH.D.
• Maylo Comprehensive Psychological

• Physical Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.