Maya Subbukumar, M.SC., CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003860 Issued in WA

Practice address

330 Madison Ave S Ste 106
Bainbridge Island, WA 98110-2544

Phone

(206) 708-5997

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Powers Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Bainbridge Island, WA
  • NPI 1972824316
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1982803151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BELFAIR AVE NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103082",
            "telephone_number": "206-708-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON AVE S STE 106",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102544",
            "telephone_number": "206-708-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBUKUMAR",
        "first_name": "MAYA",
        "name_prefix": "Mrs.",
        "credential": "M.SC., CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally McIntosh Stoehr, MA LMFT
• Mary S. Stowell, PH.D., LMHC
• Linda L. Stranahan, MA, LMHC
• Debra Ann Strickland, LMHCA
• Linne Stringer
• Stacy Marie Sugg
• Lisa Sullivan, LMP
• Dora Summers-Ewing, PH.D
• Summit Eye Consultants PLLC
• Jessica Dawn Sumsky, RN

• Speech-Language Pathologist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.