Paula Kay Maxwell, OTR/L
Individual provider Active NPI Occupational Therapist · Mount Carroll, IL
NPI 1104006907 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1104006907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056.007582 (IL)
- Practice address
- 1006 N Lowden Rd
Mount Carroll, IL 61053-9476 - Phone
- (815) 244-7715
- NPI assigned
- Nov 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.007582 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.007582 | IL | Yes |
Addresses
Primary practice location
1006 N Lowden Rd
Mount Carroll, IL 61053-9476
Mailing address
1006 N Lowden Rd
Mount Carroll, IL 61053-9476
Phone (815) 244-7715
Other providers in Mount Carroll, IL
- Cassandra Marie Jibben
- Holly M Koser
- Dana J Mackenzie
- Brittany Mackey
- Natalie Kay Marshall
- Jody L McWhorter
- Jennifer Miller
- Mount Carroll Fire Protection District
- Tammy Ann Olson
- Desirae Patrick
All providers in Mount Carroll, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.