Lauryn Ashley Maxwell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13039 Issued in AZ

Practice address

2224 E Cedar Ave Ste 1
Flagstaff, AZ 86004-1957

Phone

(928) 779-1679

NPI assigned

Jul 24, 2017

Last updated

Sep 26, 2018By 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 1

Addresses

Other names 1

• Lauryn Ashley Hanna Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Northland-Rural Therapy Associates, LLC

  dba Northland-Rural Therapy Associates

  • Specialist
  • Flagstaff, AZ
  • NPI 1376677914

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1104349919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 E CEDAR AVE STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 E CEDAR AVE STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041957",
            "telephone_number": "928-779-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "LAURYN",
        "middle_name": "ASHLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURYN",
            "last_name": "HANNA",
            "middle_name": "ASHLEY",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Lynn Maurer, PPD CLC
• Robert Eugene Maurer, D.D.S.
• Vincent Keith Maurer, PT
• Elizabeth Cecilia Mawhinney
• Krissie Maxwell, FNP
• Jeffrey Craig Mazique, MD
• Marca McCallie, PHD, PSY
• James D McCallum, DPT
• John Thomas McCarthy, D.C.
• Anna E McClaugherty, M.A., LPC

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.