Max Well Therapy LLC
Organization Active NPI Physical Therapist · Grand Blanc, MI
NPI 1407042963 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1407042963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501004033 (MI)
- Legal business name
- MAX WELL THERAPY LLC
- Practice address
- 8263 S Saginaw St Ste 5
Grand Blanc, MI 48439-2462 - Phone
- (810) 230-9750
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Jillayne M Maxwell, PT
- Title
- Owner
- Phone
- (810) 579-7184
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Practitioners 43
-
Meagan Atkins, SLP
-
Rebecca Lynn Hawkins, DPT
-
Madisyn Matzke, OTRL
-
Erin Lorraine Melton, DPT
-
Kayla Marie Tubergen, OTD, OTR/L
-
Ann Marie Vermeesch, OTRL
-
Meredith Lynn Relken, MA CCC-SLP
-
Carrie Lynn Becher, OTR/L
-
Frances Kobus, CMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031222000771 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7113825670 |
Receives reassigned benefits from 13 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grand Blanc, MI; Flint, MI |
National Provider Directory
Locations
1397 S Linden Rd
Ste 180
Flint, MI 48532
Phone (810) 230-9750
1397 S Linden Rd
Ste B
Flint, MI 48532
Phone (810) 230-9750
5431 Hill 23 Dr
Flint, MI 48507
Phone (810) 238-9688
8263 S Saginaw St
Ste 5
Grand Blanc, MI 48439
Phone (810) 230-9750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 5501004033 | MI | Yes |
| Physical Therapy Assistant |
225200000X | |||
| Massage Therapist |
225700000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
8263 S Saginaw St Ste 5
Grand Blanc, MI 48439-2462
Mailing address
1289 S Linden Rd Ste a
Flint, MI 48532-3499
Phone (810) 230-9750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B557040 | Other | MI | BCBSOF MICHIGAN |
Other names
- Max Well Physical Therapy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.maxwelltherapy.com |
Other providers in Grand Blanc, MI
- Deondre M Massie
- Lidielisa Matos Morales
- Haidy Matter
- Gregory Alan Matzelle
- Abby Jo Mausey
- Kayla Marie Mayer
- Katelin Maylum
- Jessica Rose Mazzi
- Kelly Anne McCarthy
- Janet Wright McCaskill
All providers in Grand Blanc, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.