Active NPI
Ryan D Maxwell
- Dance Therapist
- Bronx, NY
National Provider Identifier
1639086069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dance Therapist
- Practice address
- 2825 3Rd Ave Ste 402
Bronx, NY 10455-4073 - Phone
- (718) 520-8000
- NPI assigned
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dance Therapist | 225600000X | Primary |
Addresses
Primary practice location
2825 3Rd Ave Ste 402
Bronx, NY 10455-4073
Mailing address
1442 E 92ND St
Brooklyn, NY 11236-5008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1639086069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1442 E 92ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 3RD AVE STE 402",
"city": "BRONX",
"state": "NY",
"postal_code": "104554073",
"telephone_number": "718-520-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "RYAN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.