Max Whiting, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

122358 Issued in IA

Practice address

4016 State St
Bettendorf, IA 52722-6131

Phone

(815) 918-1982

NPI assigned

Apr 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Max Performance Physical Therapy

  • Sports Physical Therapist
  • Bettendorf, IA
  • NPI 1871472332
  NPD Authorized official
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Durant, IA
  • NPI 1639159700
  NPD (past)
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1336760529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 STATE ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226131",
            "telephone_number": "815-918-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 STATE ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226131",
            "telephone_number": "815-918-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656133",
            "country_code": "US",
            "telephone_number": "309-762-9361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITING",
        "first_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070023071",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IA",
            "license": "122358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "070023071",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L Weyman IV, MD
• Phyllis L Whaley, FNP-C
• Cody Wheeler
• Julie Ellen Wheeler, ARNP
• Jacob White-Seabloom, PTA
• Nicholas Wiegand, PA-C
• Lisa Annette Wienclaw, PHARM D
• John C Wiesch, CCMHC, LCPC, LMHC
• Haley F Wiggins, FNP-C
• Matthew R Wilber, DPM

• Sports Physical Therapist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Sports Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.