Maxwell Austin Maney, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16155-24 Issued in WI

Practice address

4545 N 92ND St
Milwaukee, WI 53225-4807

Phone

(414) 464-3880

NPI assigned

Nov 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1427767375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N75W23469 N RIDGEVIEW CIR",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892067",
            "telephone_number": "815-222-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254807",
            "telephone_number": "414-464-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEY",
        "first_name": "MAXWELL",
        "middle_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16155-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren T Mandrelle, M.S., CCC-SLP
• Jake Mandziuk, MD
• Colleen M Maney, PHARM.D.
• James P Maney, MD
• Kristen M Maney, NP
• Sharon Maney, NP
• Colleen Mangan, CSAC
• Marsha Linda Mangas-Prill, PT
• Alison Marie Mangerson
• Monica Jean Maniaci, MSW

• Physical Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.