Active NPI
Maxwell Ji, PT, DPT, CSCS
- Physical Therapist
- Columbia, MD
National Provider Identifier
1104500610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016579
- Practice address
- 5755 Cedar LN
Columbia, MD 21044-2912 - Phone
- (410) 740-7890
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016579 | GA | Primary |
Addresses
Primary practice location
5755 Cedar LN
Columbia, MD 21044-2912
Mailing address
1800 S Hanover St Unit 428
Baltimore, MD 21230-4988
Phone (425) 443-1532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One-on-One Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1881766764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1104500610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 S HANOVER ST UNIT 428",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304988",
"telephone_number": "425-443-1532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 CEDAR LN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442912",
"telephone_number": "410-740-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JI",
"first_name": "MAXWELL",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.