John Maxham

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT028726 Issued in PA

Practice address

9337 Krewstown Rd # 39
Philadelphia, PA 19115-3710

Phone

(215) 676-6760

Fax

(215) 676-3746

NPI assigned

Oct 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085

  Orthopedic

  NPD
• Orthopedic and Sports Physical Therapy Services, Inc

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1447424064
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1821695479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 KREWSTOWN RD # 39",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-676-6760",
            "fax_number": "215-676-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXHAM",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT028726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constantine D Mavroudis, M.D.
• Ashley E Mawhinney, DO
• Lisa Mawhinney
• Max Home Health Care LLC
• Maxcare Chiropractic LLC
• Maxicarellc
• Maxies Catered Experience LLC
• Maxillofacial Surgical Associates, P.C.
• Maxim Healthcare Services Inc
• Clara Maxim

• Orthopedic Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.