Active NPI
Maxim Rehab Inc.
Doing business as Maxim Physical Therapy
- Physical Therapist
- Redding, CA
National Provider Identifier
1447312871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Virgil Tomasin, MSPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPT001550 | Medicaid | CA |
Other names 1
- Maxim Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Redding, CA
- NPI 1457552275
-
- Physical Therapist
- Shasta Lake, CA
- NPI 1235210501
-
- Athletic Trainer
- Redding, CA
- NPI 1013307032
-
- Physical Therapist
- Spokane, WA
- NPI 1366501645
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.