Active NPI
Lynn M Maxwell, OTR/L
- Occupational Therapist
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019023
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access PT, OT, New York, PLLC | Current | Accepting new patients | |
| Middletown Medical PC | Current | Accepting new patients | |
| Stern at Home Physical Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Middletown Medical PC | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Friedwald Center for Rehabilitation and Nursing, LLC | 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.
-
- Skilled Nursing Facility
- New City, NY
- NPI 1831147214
Adp of the SNF, Operational/Managerial Control
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.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Physical Therapist
- New City, NY
- NPI 1831539493
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
Occupational Therapist
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.