Maxwell Rehabilitation PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2013-00883 Issued in NC

Legal business name

MAXWELL REHABILITATION PLLC

Practice address

1515 W Pettigrew St
Durham, NC 27705-4821

Phone

(919) 286-0751

Fax

(919) 286-7065

NPI assigned

Jul 3, 2013

Organization subpart

No

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

Authorized official

Name

Ann Miller Maxwell, MD

Title

Owner

Phone

(804) 920-1381

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1376983437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011652",
            "telephone_number": "804-920-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W PETTIGREW ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054821",
            "telephone_number": "919-286-0751",
            "fax_number": "919-286-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-920-1381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2013-00883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Mavodzi, RN
• Charles Mason Maxfield, MD
• Maxim Habilitation Services, LLC
• Maxim Healthcare Services, Inc.
• Maxon Optometry PLLC
• Alexandra Maxwell, OTR/L
• Ann Miller Wilson Maxwell, MD
• Aonnyee Maxwell
• Ashley Maxwell, PT, DPT
• Cory D Maxwell, MD

• Physical Medicine & Rehabilitation Physician in Durham, NC
• Providers in Durham, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.