Individual provider Active NPI

John Lawerance Maxwell, PT

  • Physical Therapist
  • Aurora, IL
National Provider Identifier
1184875254
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.013830 Issued in IL
Practice address
2111 Ogden Ave
Aurora, IL 60504-7597
Phone
(630) 978-3800
NPI assigned
Oct 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.013830 IL Primary

Addresses

Primary practice location

2111 Ogden Ave
Aurora, IL 60504-7597

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

1163 E Ogden Ave Ste 719
Naperville, IL 60563-8535
Phone (630) 967-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmaxwell129939@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000603 IL Practitioner - Physical Therapist in Private Practice 9436111473 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Orthopedics, LLCGroup PAC ID 9133417454, 33 clinicians

Practice addresses (Care Compare)

1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2111 Ogden Ave
Aurora, IL 60504-7597
Phone (630) 978-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.013830ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Physical Medicine & Rehabilitation CurrentSince Aug 1, 2025 Accepting new patients
Rush-Copley Orthopedics, LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2016 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
J Maxwell Inc Physical Therapist PastSince Jul 26, 2004 Accepting new patients

Locations

2111 Ogden Ave
Aurora, IL 60504
Phone (630) 978-3800

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

507 W Kendall Dr
Ste 4
Yorkville, IL 60560
Phone (630) 552-9890

Interoperability endpoints

  • Direct secure messaging: jmaxwell129939@dulyhealthandcare.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1184875254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047597",
            "telephone_number": "630-978-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 E Ogden Ave Ste 719",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638535",
            "country_code": "US",
            "telephone_number": "630-967-2000",
            "fax_number": "630-435-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JOHN",
        "middle_name": "LAWERANCE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.013830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmaxwell129939@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "1163 E Ogden Ave Ste 719",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605638535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.