Stephanie Marie Lyle Maxwell, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

10142 Issued in CO

Practice address

395 S Pratt Pkwy
Longmont, CO 80501-6436

Phone

(303) 776-6200

NPI assigned

Nov 7, 2008

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal Touch Therapies, PC

  • Pediatric Physical Therapist
  • Aurora, CO
  • NPI 1952569618

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1023262748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 S PRATT PKWY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016499",
            "telephone_number": "303-776-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S PRATT PKWY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016436",
            "telephone_number": "303-776-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE MAXWELL",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "10142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Luong, D.M.D.
• Stacia Lupberger, MS, RD
• Luxottica of America Inc. (Target Optical #2165)
• Luxottica Retail North America Inc (Sears Optical #C0143)
• Elizabeth S Lycett, M.D.
• Rex Stephen Lynd, RPH
• Lynn Lyon, LICSW
• Carrie A Lyons, MS, LAC, LMFT
• Jesenia M M Cristobal
• M. Therese Barrett, MD PC (Centennial Women's Health Center)

• Pediatric Physical Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Pediatric Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.