NPIMap

Organization Active NPI

Max Well Therapy L.L.C.

Doing business as Max Well Physical Therapy & Massage

  • Physical Therapist
  • Flint, MI
National Provider Identifier
1871544577
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAX WELL THERAPY L.L.C.
Doing business as
Max Well Physical Therapy & Massage
Practice address
1289 S Linden Rd Ste a
Flint, MI 48532-3499
Phone
(810) 230-9750
Fax
(810) 230-8799
NPI assigned
May 15, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MAX WELL THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Mrs. Jillayne M Maxwell, PTNPI 1083647895
Title
Owner
Phone
(810) 230-9750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1289 S Linden Rd Ste a
Flint, MI 48532-3499

Mailing address

1289 S Linden Rd Ste a
Flint, MI 48532-3499
Phone (810) 230-9750

Other names 1

  • Max Well Physical Therapy & Massage Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.maxwelltherapy.co,

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031222000771 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7113825670 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Grand Blanc, MI; Flint, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Max Well Therapy LLC2 organizations share this tax ID, including this one
Part of
Max Well Therapy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5841 Whitmore Lake Rd
Brighton, MI 48116
Phone (810) 227-6218

1289 S Linden Rd
Flint, MI 48532
Phone (586) 221-3999

1397 S Linden Rd
Ste B
Flint, MI 48532
Phone (810) 230-9750

8273 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 579-7184

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1871544577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323499",
            "telephone_number": "810-230-9750",
            "fax_number": "810-230-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 S LINDEN RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323499",
            "telephone_number": "810-230-9750",
            "fax_number": "810-230-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX WELL THERAPY L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAX WELL THERAPY LLC",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JILLAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-230-9750",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.maxwelltherapy.co,",
            "affiliation": "N",
            "address_1": "1289 S Linden Rd Ste A",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Max Well Physical Therapy & Massage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Max Well Physical Therapy & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.