Emily Maxwell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25778 Issued in MA

Practice address

456 Main St Ste a-B
Holden, MA 01520-3708

Phone

(508) 721-0000

Fax

(508) 721-0100

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Motion Physical Therapy LLCGroup PAC ID 3274522784, 22 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.

• Back in Motion Physical Therapy LLC

  • Physical Therapist
  • Lorton, VA
  • NPI 1992730469

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy Innovations, Inc

  • Physical Therapist
  • Auburn, MA
  • NPI 1689620452

  MA, Physical Therapist

  Medicare reassignment NPD
• Francis P. Defalco, PC

  • Chiropractor
  • Holden, MA
  • NPI 1184944464
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1619631173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "774-696-8309",
            "fax_number": "508-297-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 MAIN ST STE A-B",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015203708",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "EMILY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PT LICENSE",
            "identifier": "2305214540",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaymaa Majeed
• Peter B Markert, D.C.
• Jamie Ashford Marrone
• Lisa Anne Masciarelli, RN,MSN,CPNP
• Anita Lynn Masterson, MSW, LICSW
• Gerald T. McAuliffe, MD
• Mary Ellen McClune, CCC-SLP
• Ralph S. McCracken Jr., D.D.S.
• Bridget McFarland
• Adam McIntire, LMHC

• All providers in Holden, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.