Lydia L Maxwell, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.009375 Issued in IL

Practice address

16809 Maple Lane Dr
Tinley Park, IL 60477-2843

Phone

(765) 427-9394

NPI assigned

Apr 27, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Creative Health Care Management LLC

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457

  Speech-Language Pathologist

  Medicare reassignment NPD
• Your Piece of Mind

  • Speech-Language Pathologist
  • Tinley Park, IL
  • NPI 1356066104
  NPD Authorized official
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Speech-Language Pathologist

  NPD
• Creative Health Care Management LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975

  Speech-Language Pathologist

  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1114161734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16809 MAPLE LANE DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772843",
            "telephone_number": "765-427-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16809 MAPLE LANE DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772843",
            "telephone_number": "765-427-9394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5620 Sohl Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463202008",
            "country_code": "US",
            "telephone_number": "219-937-9085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "LYDIA",
        "middle_name": "L",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.009375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesoro Martinez, RBT
• John J Mascarello
• Brooke Anna Mason, PHARMD
• Abdulrahman Masrani, MD
• Mohammad Rasmi Mataria, M.D.
• Brooke Mayer, MOTR/L
• McAllister Nursing & Rehab LLC
• McCahill Chiropractic Inc.
• Michael John McCahill, D.C.
• Leon David McClimans, LPC

• Speech-Language Pathologist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.