Active NPI
Bonnie Maxey
- Physical Therapist
- Austin, TX
National Provider Identifier
1295068062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 121129
- Practice address
- 8868 Research Blvd Ste 601
Austin, TX 78758-8521 - Phone
- (512) 467-7232
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 121129 | TX | Primary |
Addresses
Primary practice location
8868 Research Blvd Ste 601
Austin, TX 78758-8521
Mailing address
3202 Whiteway Dr
Austin, TX 78757-1623
Phone (512) 826-8623
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121129 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1295068062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 WHITEWAY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571623",
"telephone_number": "512-826-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8868 RESEARCH BLVD STE 601",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787588521",
"telephone_number": "512-467-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "BONNIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "121129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.