Jillayne Maria Maxwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4425 Issued in MN

Practice address

1289 S Linden Rd Ste a
Flint, MI 48532-3499

Phone

(952) 440-5906

Fax

(952) 440-5907

NPI assigned

Jul 8, 2006

Last updated

Mar 7, 2022By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Max Well Therapy LLCGroup PAC ID 7113825670, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Max Well Therapy L.L.C.

  dba Max Well Physical Therapy & Massage

  • Physical Therapist
  • Flint, MI
  • NPI 1871544577
  Medicare reassignment Care Compare group NPD Authorized official
• Max Well Therapy LLC

  dba Max Well Physical Therapy

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1407042963
  NPD Authorized official
• Max Well Therapy LLC

  dba Max Well Physical therapy

  • Physical Therapist
  • Prior Lake, MN
  • NPI 1881647337
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1083647895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323499",
            "telephone_number": "952-440-5906",
            "fax_number": "952-440-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323499",
            "telephone_number": "952-440-5906",
            "fax_number": "952-440-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14033 Commerce Ave NE Ste 180",
            "address_purpose": "LOCATION",
            "city": "Prior Lake",
            "state": "MN",
            "postal_code": "553721438",
            "country_code": "US",
            "telephone_number": "952-440-5906",
            "fax_number": "952-440-5907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JILLAYNE",
        "middle_name": "MARIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004033",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059296000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438-3090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0B557040",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018K1MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maxim Healthcare Services, Inc.
• Tonia Maxson, N.P.
• Maxwell Pharmacy LLC (Maxwell Pharmacy)
• Maxwell Taylor PHD PC
• Anthony Maxwell
• Sherrie Rae Maxwell, RN
• May Ghalib, MD, PC
• Blanche D May
• Nicole Elizabeth May, NP
• Brenda Louise Mayes-Sullivan

• Physical Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.