Stephen Maze, PT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PT028012 Issued in PA

Practice address

100 Presidential Blvd
Bala Cynwyd, PA 19004-1108

Phone

(610) 668-0904

NPI assigned

Aug 2, 2019

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Ligonier, PA
  • NPI 1487010583
  Medicare reassignment NPD
• Reconstructive Orthopaedic Associates II LLC

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861433278
  Medicare reassignment NPD
• Rehabclinics (SPT), Inc.

  • Physical Therapy Clinic/Center
  • Conshohocken, PA
  • NPI 1255330148
  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East, Inc.

  • Rehabilitation Clinic/Center
  • Malvern, PA
  • NPI 1588218044
  NPD
• Reconstructive Orthopaedic Associates II LLC

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1497571830
  NPD
• Rehabclinics SPT, Inc.

  • Physical Therapy Clinic/Center
  • Chalfont, PA
  • NPI 1952009482
  NPD
• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1457906802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "610-668-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE",
        "first_name": "STEPHEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "PT028012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent C Matthies
• Maxim Healthcare Services Inc
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Sophie Maxman
• Alexandra Mazis, BA
• Gabriela Mazzoni
• Alexis McCormick, RBT
• Mary Anne McCormick, MSS, LCSW
• Judith L. M. McCoyd, PHD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.