Active NPI
Dennis L Maxwell, LMT.
- Massage Therapist
- Cookeville, TN
National Provider Identifier
1124349188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8180
- Practice address
- 802 E 10TH St
Suite a
Cookeville, TN 38501-1911 - Phone
- (931) 261-3519
- NPI assigned
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8180 | TN | Primary |
Addresses
Primary practice location
802 E 10TH St
Suite a
Cookeville, TN 38501-1911
Mailing address
PO Box 201
Baxter, TN 38544-0201
Phone (931) 858-0507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1124349188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201",
"city": "BAXTER",
"state": "TN",
"postal_code": "385440201",
"telephone_number": "931-858-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E 10TH ST",
"address_2": "SUITE A",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011911",
"telephone_number": "931-261-3519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "DENNIS",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LMT.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "8180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.