Individual provider Active NPI

Jessica G Maxwell, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1649753112
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27478 Issued in MD
Practice address
10700 Charter Dr Ste 100
Columbia, MD 21044-3631
Phone
(410) 992-7800
Fax
(410) 720-2190
NPI assigned
Sep 11, 2018
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 27478 MD Primary

Addresses

Primary practice location

10700 Charter Dr Ste 100
Columbia, MD 21044-3631

Mailing address

10700 Charter Dr Ste 100
Columbia, MD 21044-3631
Phone (410) 992-7800

Other practice location 1

3801 International Dr Ste 200
Silver Spring, MD 20906-1550
Phone (301) 598-9715

Other practice location 2

3414 Olandwood Ct
Olney, MD 20832-1384
Phone (301) 774-0500

Other practice location 3

19851 Observation Dr Ste 450
Germantown, MD 20876-4148
Phone (301) 977-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190723000253 DC Practitioner - Physical Therapist in Private Practice 4183950637 Reassigns benefits to 1 organization
I20190724000248 MD Practitioner - Physical Therapist in Private Practice 4183950637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10700 Charter Dr
Suite 100
Columbia, MD 21044-3631
Phone (410) 992-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 17, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 17, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 17, 2019 Accepting new patients
Centers for Advanced Orthopaedics LLC Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

8818 Centre Park Dr
Ste 111
Columbia, MD 21045
Phone (443) 545-8549

10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500

19851 Observation Dr
Ste 450
Germantown, MD 20876
Phone (301) 977-3605

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

3801 International Dr
Ste 200
Silver Spring, MD 20906
Phone (301) 598-1450

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1649753112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443631",
            "telephone_number": "410-992-7800",
            "fax_number": "410-720-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443631",
            "telephone_number": "410-992-7800",
            "fax_number": "410-720-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 International Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209061550",
            "country_code": "US",
            "telephone_number": "301-598-9715",
            "fax_number": "301-598-9727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3414 Olandwood Ct",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321384",
            "country_code": "US",
            "telephone_number": "301-774-0500",
            "fax_number": "301-774-7338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19851 Observation Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764148",
            "country_code": "US",
            "telephone_number": "301-977-6777",
            "fax_number": "301-977-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JESSICA",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.