Maximum Wellness Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01371700 Issued in NJ

Legal business name

MAXIMUM WELLNESS REHABILITATION LLC

Practice address

89 Riverwood Dr
Toms River, NJ 08755-1292

Phone

(732) 818-1999

Fax

(732) 286-2226

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Jeffrey S Gurrere, DC

Title

Owner

Phone

(732) 818-1999

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1740665199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 RIVERWOOD DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551292",
            "telephone_number": "732-818-1999",
            "fax_number": "732-286-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 RIVERWOOD DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551292",
            "telephone_number": "732-818-1999",
            "fax_number": "732-286-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM WELLNESS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "GURRERE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-818-1999",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00561500",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00116800",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00111700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01371700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorya E Matthews, C.N.M.
• Robert William Matthews, M.P.T.
• Victorino Managuit Matus Jr., MD
• Maxim Healthcare Services Inc
• Maximum Wellness Rehabilitation Center LLC
• Aliona Maxwell, MD
• Renee May, PA-C
• Kenneth Maykow, DDS
• Burton Mayrowetz, M.D.
• Christina Marie Mazmanian, R.N.

• Physical Therapist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.