Adam Daye Maxwell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

100 Bridger Center Dr Ste a
Bozeman, MT 59715-2288

Phone

(406) 551-9077

Fax

(406) 545-2205

NPI assigned

Oct 28, 2020

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: boliver@lonepeakpt.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1275133316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824430790",
            "telephone_number": "307-864-2146",
            "fax_number": "307-864-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRIDGER CENTER DR STE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152288",
            "telephone_number": "406-551-9077",
            "fax_number": "406-545-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ADAM",
        "middle_name": "DAYE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boliver@lonepeakpt.com",
            "affiliation": "Y",
            "affiliationName": "Lone Peak Physical Therapy Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Bridger Center Dr Ste A",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597152288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Maughan, NP
• Jarom E. Maurer, D.M.D.
• Rebecca Maurillo, RD
• Heidi Marie Maus
• Susan Pendleton Mavor, MS, LCPC
• Kimberly Annette Maxwell, D.C.
• Michael C Maxwell, M.D.
• Kenneth Francis May Jr., M.D., PH.D.
• Konnor Andrew May, DC
• Steffan John May, M.D.

• Physical Therapist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.