Individual provider Active NPI

Lynn M Maxwell, OTR/L

  • Occupational Therapist
  • Goshen, NY
National Provider Identifier
1861960916
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019023 Issued in NY
Practice address
30 Hatfield LN Ste 203
Goshen, NY 10924-6768
Phone
(845) 615-2222
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019023 NY Primary

Addresses

Primary practice location

30 Hatfield LN Ste 203
Goshen, NY 10924-6768

Mailing address

16 Maybrook Rd Ste B
Campbell Hall, NY 10916-2742
Phone (845) 636-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424001019 NY Practitioner - Occupational Therapist in Private Practice 6507108479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

75 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

95 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT, OT, New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Middletown Medical PC CurrentSince Jun 24, 2025 Accepting new patients
Stern at Home Physical Therapy PC Occupational Therapist CurrentSince Jun 6, 2021 Accepting new patients
Middletown Medical PC CurrentSince Jun 24, 2025 Accepting new patients

Locations

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

30 Hatfield Ln
Ste 203
Goshen, NY 10924
Phone (845) 615-2222

111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590

111 Maltese Dr
Middletown, NY 10940

745 State Route 17M
Ste 104
Monroe, NY 10950
Phone (845) 561-8060

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friedwald Center for Rehabilitation and Nursing, LLCNew City, NY, CCN 335734001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 10, 2025
Feb 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1861960916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE B",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162742",
            "telephone_number": "845-636-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HATFIELD LN STE 203",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246768",
            "telephone_number": "845-615-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.