Ellen Maxwell

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

159 Executive Dr Ste a
Danville, VA 24541-4160

Phone

(434) 799-7732

Fax

(434) 799-7733

NPI assigned

May 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Speech & Occupational Therapy Specialists

  • Multi-Specialty Clinic/Center
  • Danville, VA
  • NPI 1902437841
  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1265170831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10864",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245435015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 EXECUTIVE DR STE A",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414160",
            "telephone_number": "434-799-7732",
            "fax_number": "434-799-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Carrington Martin II, CRNA
• Massage by Vickie
• Amanda Mathena, OTR/L
• Tyler Storm Mathena, DPT
• Frederick Carl Maute, M.D.
• Emily Maxwell, PHARM D
• Douglas R May, M.D.
• Michael Clayton May, DDS
• Christy Abbott Mayes, LPC
• Taneshia Gail Mayfield, LPC

• Speech-Language Assistant in Danville, VA
• Providers in Danville, VA by specialty
• Speech-Language Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.