Melissa Maxwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22989 Issued in FL

Practice address

1891 Capital Cir NE Ste 2
Tallahassee, FL 32308-4486

Phone

(850) 877-8855

NPI assigned

Nov 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Next PT Group Florida, LLCGroup PAC ID 3173865607, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Next PT Group Florida, LLC

  • Physical Therapist
  • Ocala, FL
  • NPI 1730666355
  Medicare reassignment Care Compare group NPD
• Tallahassee Orthopedic & Sports Physical Therapy

  • Physical Therapist
  • Crawfordville, FL
  • NPI 1114057957
  NPD (past)
• Tallahassee Orthopedic & Sports Physical Therapy, LLC

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1376593053
  NPD (past)
• Valdosta Physical Therapy, Inc

  • Physical Therapist
  • Valdosta, GA
  • NPI 1578775771
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1801877220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-537-7690",
            "fax_number": "812-590-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 CAPITAL CIR NE STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084486",
            "telephone_number": "850-877-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 N Patterson St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022946",
            "country_code": "US",
            "telephone_number": "229-247-5225",
            "fax_number": "229-241-8471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MELISSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2023-11-29",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL3489",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "650020377",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP3435",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE GROUP",
            "identifier": "58-1375201",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "820717",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynasti Maxie
• Maxim Healthcare Services, Inc.
• Amanda C Maxwell, ARNP
• Jeremy Maxwell, MD
• Manuela Maxwell, APRN
• Meredith Margaret Maxwell, M.D.
• Armoni May, RN
• Deborah D. May, APRN
• Joan Presley May, CCC-SLP
• Julie Ann May, M.S.W.

• Physical Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.