Maximum Impact Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAXIMUM IMPACT PHYSICAL THERAPY, LLC

Doing business as

Maximum Impact Physical Therapy

Practice address

10555 Montgomery Blvd NE Ste 30
Albuquerque, NM 87111-3857

Phone

(505) 336-4254

Fax

(505) 393-3955

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shyla Mesch, DPTNPI 1154754869

Title

Owner/Physical Therapist

Phone

(505) 363-4038

Specialties & licenses 1

Addresses

Other names 1

• Maximum Impact Physical Therapy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

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.

• Shyla D. Mesch, DPT

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1154754869
  Medicare reassignment Care Compare group NPD Authorized official
• Bobbi Deanna Pierson, PT, DPT

  • Physical Therapist
  • Bernalillo, NM
  • NPI 1124754601
  Medicare reassignment Care Compare group NPD
• Erika Telfer

  • Physical Therapist
  • Honolulu, HI
  • NPI 1609287119

  NM

  Medicare reassignment NPD

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1548997372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 PLANETA CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111416",
            "telephone_number": "505-363-4038",
            "fax_number": "505-393-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 MONTGOMERY BLVD NE STE 30",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113857",
            "telephone_number": "505-336-4254",
            "fax_number": "505-393-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM IMPACT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "MESCH",
        "authorized_official_first_name": "SHYLA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-363-4038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drshyla@maximumimpactptabq.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10555 Montgomery Blvd NE Ste 30",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871113857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maximum Impact Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxgoal LLC (MaxGoal Mobile Physical Therapy LLC)
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maximum Impact Physical Therapy, LLC
• Emily Maxon, NP
• Briahna Frances Maxwell, LPCC
• Chris Maxwell, LPCC
• Christopher J Maxwell
• Faith Petra Maxwell

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

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