Individual provider Active NPI

Alex Maxwell, DPT

  • Physical Therapist
  • Piedmont, OK
National Provider Identifier
1073128369
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5832 Issued in OK
Practice address
13100 Clny Pointe Blvd Ste 108
Piedmont, OK 73078-8828
Phone
(405) 283-9774
NPI assigned
Sep 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5832 OK Primary

Addresses

Primary practice location

13100 Clny Pointe Blvd Ste 108
Piedmont, OK 73078-8828

Mailing address

2709 NW 21St St
Oklahoma City, OK 73107-3239
Phone (405) 420-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Care, LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

834 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 418-6787

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600

13100 Colonypointe Blvd
Ste 108
Piedmont, OK 73078
Phone (405) 283-9774

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1073128369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 NW 21ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731073239",
            "telephone_number": "405-420-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 CLNY POINTE BLVD STE 108",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730788828",
            "telephone_number": "405-283-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ALEX",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.