Jordyn Maxwell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1374594 Issued in TX

Practice address

511 Oakwood Blvd Ste 205
Round Rock, TX 78681-4068

Phone

(541) 610-5204

NPI assigned

Mar 1, 2023

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

Medicare fee-for-service enrollment

Enrolled in TX, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Physio LLCGroup PAC ID 3476968611, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunrise Physio LLC

  • Physical Therapist
  • Bend, OR
  • NPI 1710524269
  Medicare reassignment Care Compare group
• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861
  Medicare reassignment NPD

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1083313829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17928 KENAI FJORDS DR UNIT 2",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OAKWOOD BLVD STE 205",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814068",
            "telephone_number": "541-610-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JORDYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1374594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Mauerman, MD
• Mark Edward Maunder, MD
• Anthony Mautz, LCSW
• Laura Ann Maxey, DDS
• Maxsurg LLC
• Melanie Ann May, COTA
• Melissa R May, P.T.
• Maycare, PLLC
• Loretta Lee Mayer, DNP, NP-C, APRN, RN
• Katherine Ann Mayes, APRN, FNP-C

• Physical Therapist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.