Max Well Therapy L.L.C.
Organization Active NPI Physical Therapist · Flint, MI
NPI 1871544577 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1871544577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MAX WELL THERAPY L.L.C.
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- MAX WELL THERAPY LLC
Authorized official
- Name
- Mrs. Jillayne M Maxwell, PT
- Title
- Owner
- Phone
- (810) 230-9750
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 43
-
Rebecca Lynn Hawkins, DPT
-
Madisyn Matzke, OTRL
-
Erin Lorraine Melton, DPT
-
Kayla Marie Tubergen, OTD, OTR/L
-
Meredith Lynn Relken, MA CCC-SLP
-
Meagan Atkins, SLP
-
Ann Marie Vermeesch, OTRL
-
Frances Kobus, CMT
-
Carol Lumsden, PTA CMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Max Well Therapy LLC
- Part of
- Max Well Therapy LLC
Locations
1289 S Linden Rd
Flint, MI 48532
Phone (586) 221-3999
5361 Gateway Ctr
Ste B
Flint, MI 48507
Phone (810) 288-9998
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Physical Therapy Assistant |
225200000X | |||
| Massage Therapist |
225700000X | |||
| Occupational Therapist |
225X00000X | |||
| Pediatric Occupational Therapist |
225XP0200X | |||
| Speech-Language Pathologist |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B511320 | Other | MI | BCBS GROUP # |
| 0B50886 | Other | MI | BCBS OT |
| 0B50901 | Other | BCBS SP | |
| 1008285 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 7368023 | Other | MI | AETNA |
| 383335 | Other | MI | PPOM |
| 105378600 | Other | MI | US DEPT OF LABOR |
| 4383090 | Medicaid | MI |
Other names
- Max Well Physical Therapy & Massage
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.maxwelltherapy.co, |
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.