Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayne Medical, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1366170656

Mayne Medical, LLC is a Physical Medicine & Rehabilitation Physician in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4524 N Maryvale Pkwy Ste 160
Phoenix, AZ 85031-1739
Phone: (480) 688-3321
Fax: (480) 393-7197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1366170656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennelle Suarez — Owner, Pa, Rendering Provider · (480) 688-3321
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address10645 N Tatum Blvd Ste C200464, Phoenix, AZ 85028-0425

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