Jeffrey Joseph Maxwell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0014502 Issued in CO

Practice address

12610 Hudson St
Thornton, CO 80241-2302

Phone

(434) 209-3218

NPI assigned

Jun 25, 2021

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1003486879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 HUDSON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412302",
            "telephone_number": "434-209-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 HUDSON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412302",
            "telephone_number": "434-209-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0014502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Irene Maule, MA,BSN, RN, CARN
• Aleisha Marie Maunu, M.A., LMFT
• Carolyn Watt Mauterer, D.D.S.
• Jarod Maxson, PT, DPT
• Daniel Taylor Maxwell, PTA
• Rachel Maxwell, PT, DPT
• John A May, OD
• Philippa Leigh May, MA-CCC-SLP
• Katherine Mayfield
• Michael Reid Mayo, MD

• Physical Therapy Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.