Individual provider Active NPI

Nicholas B Maxwell, DPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1598287583
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32701 Issued in FL
Practice address
6775 40TH Ave N
St Petersburg, FL 33709-4939
Phone
(727) 308-9848
Fax
(727) 502-6027
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32701 FL Primary

Addresses

Primary practice location

6775 40TH Ave N
St Petersburg, FL 33709-4939

Mailing address

260 1St Ave S Ste 200-161
St Petersburg, FL 33701-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905001449 FL Practitioner - Physical Therapist in Private Practice 8729351291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Therapy Florida LLCGroup PAC ID 5395091722, 24 clinicians

Practice addresses (Care Compare)

3650 N Access Rd
Englewood, FL 34224-8655
Phone (941) 681-2064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32701FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Orthopedic Associates LLC CurrentSince Jun 4, 2018 Accepting new patients
Sarasota Orthopedic Associates, LLC CurrentSince Jun 4, 2018 Accepting new patients
Total Therapy Florida, LLC Physical Therapist CurrentSince Mar 25, 2022 Accepting new patients

Locations

3650 N Access Rd
Englewood, FL 34224
Phone (941) 460-3831

450 S Tamiami Trl
Osprey, FL 34229
Phone (941) 460-3831

2750 Bahia Vista St
Ste 100
Sarasota, FL 34239

1499 E Venice Ave
Unit A
Venice, FL 34292
Phone (941) 451-8657

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1598287583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 1ST AVE S STE 200-161",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094939",
            "telephone_number": "727-308-9848",
            "fax_number": "727-502-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "NICHOLAS",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.