Kristin Lynn Maxsimic, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1512 Issued in ME

Practice address

35 Miles St
Damariscotta, ME 04543-4047

Phone

(207) 563-1234

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Covey Physical Therapy

  • Physical Therapist
  • Hermon, ME
  • NPI 1144487471
  NPD (past)
• Tardif Community Therapy & Wellness PA

  • Specialist
  • Hampden, ME
  • NPI 1588959647

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1598994352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FREMONT ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013711",
            "telephone_number": "207-852-8288",
            "fax_number": "207-862-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MILES ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434047",
            "telephone_number": "207-563-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Fremont St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013711",
            "country_code": "US",
            "telephone_number": "207-852-8288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 US Route 1 Ste C",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747174",
            "country_code": "US",
            "telephone_number": "207-563-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXSIMIC",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304636",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015704",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainehealth (MaineHealth Lincoln Hospital)
• Mark T. Mainella, D.O.
• Jennifer Jean Maki, ANP-C
• Cameron R Malcolm
• Zoe Mather
• Marsha O. May, OT/L
• Jillian Bari McAuliffe, LCSW
• Derek Christopher McConnell, PHARM.D.
• McCormick and Bouchard Eye Care, LLC (Coastal Family Eye Care)
• John T McCormick, OD

• Physical Therapist in Damariscotta, ME
• Providers in Damariscotta, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.