William Robert Maxwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010299 Issued in OH

Practice address

746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732

Phone

(330) 908-0039

Fax

(330) 908-0211

NPI assigned

Nov 2, 2006

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

Other names 1

• Bill Robert Maxwell Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drayer Physical Therapy Northern Ohio LLCGroup PAC ID 7315179561, 50 clinicians

Practice addresses (Care Compare)

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.

• Drayer Physical Therapy Northern Ohio LLC

  • Physical Therapist
  • Dayton, OH
  • NPI 1871919969
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1518045780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 E AURORA RD",
            "address_2": "SUITE 7",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562732",
            "telephone_number": "330-908-0039",
            "fax_number": "330-908-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 E AURORA RD",
            "address_2": "SUITE 7",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562732",
            "telephone_number": "330-908-0039",
            "fax_number": "330-908-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "010299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "MAXWELL",
            "middle_name": "ROBERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew J Mangano, PT
• Michael Marcellino, HIS
• Marion Care Organization
• Natalie Mata
• Christina Matthews
• Kasey S McCombs, PT
• Theresa L. McLaughlin, RN
• Dezaray Christian McMullin, RN
• Jeanna McQuillen, PHARMD
• Meckler Dental Providers (Macedonia), Inc. (DentalWorks of Macedonia)

• Physical Therapist in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.