Maximum Impact Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAXIMUM IMPACT PHYSICAL THERAPY, LLC

Practice address

10555 Montgomery Blvd NE
Albuquerque, NM 87111-3857

Phone

(505) 363-4038

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Shyla D. Mesch, DPTNPI 1154754869

Title

Owner/ Physical Therapist

Phone

(505) 363-4038

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shyla D. Mesch, DPT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1154754869
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1235730615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 PLANETA CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111416",
            "telephone_number": "505-363-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113857",
            "telephone_number": "505-363-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM IMPACT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MESCH",
        "authorized_official_first_name": "SHYLA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-363-4038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drshyla@maximumimpactptabq.com",
            "affiliation": "N",
            "endpointDescription": "Email with BAA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10555 Montgomery Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871113857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "505-323-4419",
            "affiliation": "Y",
            "endpointDescription": "Fax",
            "affiliationName": "New Mexico Chiropractic Center PC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Medical info and referrals.",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10555 Montgomery Blvd NE",
            "address_2": "Bldg 1 Ste 30",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871113857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jo A Maxey
• Maxgoal LLC
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maximum Impact Physical Therapy, LLC
• Emily Maxon, NP
• Briahna Frances Maxwell, LPCC
• Chris Maxwell, LPCC
• Christopher J Maxwell

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.