Marisa Maximous, RBT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

8673 15TH Way N
Saint Petersburg, FL 33702-2815

Phone

(727) 423-0060

Fax

(727) 369-8803

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Educated Play, Inc.

  • Pediatric Physical Therapist
  • St Petersburg, FL
  • NPI 1982779906

  Developmental Therapist

  NPD
• Educated Play, Inc.

  • Developmental Therapist
  • St Petersburg, FL
  • NPI 1124320866
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1023764156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 NEIL DR APT 6",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337142406",
            "telephone_number": "909-977-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8673 15TH WAY N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022815",
            "telephone_number": "727-423-0060",
            "fax_number": "727-369-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIMOUS",
        "first_name": "MARISA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-204756",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVELOPMENTAL THERAPIST",
            "identifier": "222Q00000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mawn Chiropractic PA
• Dyllon Mawn, DC
• Max Day PLLC
• Trevor Maxfield, BCBA
• Maxicare
• Timmi Maxmillian, DO
• Christopher McRae Maxson Jr.
• Alexis Maxwell
• Christopher Maxwell, PHARMD
• Nicholas B Maxwell, DPT

• Developmental Therapist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.