OrganizationActive
Mayne Medical, LLC
NPI 1366170656 · Physical Medicine & Rehabilitation Physician · Phoenix, AZ
Provider details
- NPI number
- 1366170656
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennelle Suarez, Owner, PA, Rendering Provider(480) 688-3321
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4524 N Maryvale Pkwy Ste 160
Phoenix, AZ 85031-1739
Phone: (480) 688-3321
Fax: (480) 393-7197
Street-level locationGet directions
Mailing address
10645 N Tatum Blvd Ste C200464
Phoenix, AZ 85028-0425
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.