Max Keenan Myers

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606583 Issued in VA

Practice address

650 N Jefferson St
Roanoke, VA 24016-1427

Phone

(540) 345-5111

NPI assigned

May 8, 2025

Sex

Male

Sole proprietor

No

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": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1437949930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 GREEN VALLEY DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240161427",
            "telephone_number": "540-345-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MAX",
        "middle_name": "KEENAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie L Myers
• Daniel Myers
• Erin J Myers, PA-C
• Gary Mitchell Myers Jr., RN
• Mary Myers
• Michele Poliskin Myers, MD
• Brian David Mynatt, D.C.
• Carol A Mynatt, D.C.
• Jeff S Nabonsal, MD
• Zoe Nadeau

• Physical Therapy Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.