Organization Active NPI

Maxim Rehab Inc.

Doing business as Maxim Physical Therapy

  • Physical Therapist
  • Redding, CA
National Provider Identifier
1447312871
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAXIM REHAB INC.
Doing business as
Maxim Physical Therapy
Practice address
2321 Court St
Redding, CA 96001-2527
Phone
(530) 242-8480
Fax
(530) 242-8485
NPI assigned
Dec 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. James Virgil Tomasin, MSPTNPI 1457552275
Title
Owner
Phone
(530) 242-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary

Addresses

Primary practice location

2321 Court St
Redding, CA 96001-2527

Mailing address

2321 Court St
Redding, CA 96001-2527
Phone (530) 242-8480

Other identifiers 1

IdentifierTypeStateIssuer
GPT001550MedicaidCA

Other names 1

  • Maxim Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218001017 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557268216 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

2321 Court St
Redding, CA 96001
Phone (530) 242-8480

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447312871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012527",
            "telephone_number": "530-242-8480",
            "fax_number": "530-242-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012527",
            "telephone_number": "530-242-8480",
            "fax_number": "530-242-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOMASIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-242-8480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxim Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.