Individual provider Active NPI

Paula J Maxwell, PHD, ATC

  • Athletic Trainer
  • Harrisonburg, VA
National Provider Identifier
1770510596
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
235 Martin Luther King Jr Way MSC 4101
Harrisonburg, VA 22807-8028
Phone
(540) 568-8872
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NY Primary

Addresses

Primary practice location

235 Martin Luther King Jr Way MSC 4101
Harrisonburg, VA 22807-8028

Mailing address

235 Martin Luther King Jr Way
MSC 4101
Harrisonburg, VA 22807
Phone (540) 568-8872

Other practice location 1

405 Kimball Tower
Buffalo, NY 14214-8028
Phone (716) 829-2941 ext. 405

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770510596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MARTIN LUTHER KING JR WAY",
            "address_2": "MSC 4101",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22807",
            "telephone_number": "540-568-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MARTIN LUTHER KING JR WAY MSC 4101",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228078028",
            "telephone_number": "540-568-8872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Kimball Tower",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142148028",
            "country_code": "US",
            "telephone_number": "716-829-2941 x405",
            "fax_number": "716-829-2428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "PAULA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.