Individual provider Active NPI

Maxwell Steven Lyle

  • Occupational Therapist
  • Avondale, AZ
National Provider Identifier
1730090853
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-010471 Issued in AZ
Practice address
295 W Western Ave
Avondale, AZ 85323-1848
Phone
(623) 772-5000
NPI assigned
Sep 16, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTH-010471 AZ Primary

Addresses

Primary practice location

295 W Western Ave
Avondale, AZ 85323-1848

Mailing address

6851 N 93Rd Ave Apt 3096
Glendale, AZ 85305-3241

Other practice location 1

15151 W Centerra Dr S
Goodyear, AZ 85338-2956
Phone (623) 772-4800

Other practice location 2

16875 W Canyon Trails Blvd
Goodyear, AZ 85338-4608
Phone (623) 772-4100

Other practice location 3

325 S Wildflower Dr
Goodyear, AZ 85338-6869
Phone (623) 772-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1730090853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 N 93RD AVE APT 3096",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W WESTERN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231848",
            "telephone_number": "623-772-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15151 W Centerra Dr S",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853382956",
            "country_code": "US",
            "telephone_number": "623-772-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16875 W Canyon Trails Blvd",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853384608",
            "country_code": "US",
            "telephone_number": "623-772-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 S Wildflower Dr",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853386869",
            "country_code": "US",
            "telephone_number": "623-772-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "MAXWELL",
        "middle_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-010471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.