Angela Lynn Maxwell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60364087 Issued in WA

Practice address

4701 S 19TH St Ste 100
Tacoma, WA 98405-1199

Phone

(253) 212-3620

Fax

(253) 301-2088

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela Lynn Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Madrona Pelvic Health, LLC

  • Physical Therapy Clinic/Center
  • Tacoma, WA
  • NPI 1003652025
  NPD Authorized official
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  NPD
• Multicare Health System

  • Family Medicine Physician
  • Kent, WA
  • NPI 1811949928

  Physical Therapist

  NPD
• Family Physical Therapy and Sports Rehabilitation

  • Physical Therapist
  • Morton, WA
  • NPI 1992808240
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1588097737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 S 19TH ST STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051199",
            "telephone_number": "253-212-3620",
            "fax_number": "253-301-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 S 19TH ST STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051199",
            "telephone_number": "253-212-3620",
            "fax_number": "253-301-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60364087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201526",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DAVIS",
            "middle_name": "LYNN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maxim
• Maxim Healthcare Services
• Maxim Healthcare Services
• Maxim Healthcare Services, Inc
• Maxim Healthcare Services, Inc.
• Carmen Maxwell
• Leanna Therese Maxwell, LMT
• Alice May
• Erika May
• Georgina C May

• All providers in Tacoma, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.