Max Potential Rehab Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3409 Issued in TN

Legal business name

MAX POTENTIAL REHAB INC

Practice address

7905 Cody LN
Knoxville, TN 37938-3172

Phone

(865) 776-8761

NPI assigned

Apr 27, 2010

Last updated

Apr 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Martin, BS, AS, PTANPI 1336466556

Title

Owner

Phone

(865) 776-8761

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 1

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.

• Jason Martin, BS, AS, PTA

  • Physical Therapy Assistant
  • Knoxville, TN
  • NPI 1336466556
  NPD (past) Authorized official

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1871810093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 CODY LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383172",
            "telephone_number": "865-776-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 CODY LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383172",
            "telephone_number": "865-776-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX POTENTIAL REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-776-8761",
        "authorized_official_credential": "BS, AS, PTA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TN",
            "license": "3409",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "3409",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "3409",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TN",
            "license": "3409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000001518",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine Faith Maves, PT, DPT
• Max Kids Physical Therapy, LLC
• Max Potential Bearden, LLC
• Max Potential Farragut, LLC
• Max Potential Occupational Therapy, LLC
• Max Potential Rehab, LLC
• Max Potential Speech Therapy, LLC
• David Joel Maxey, LCSW
• Maxim Healthcare Services, Inc
• Maximize the Dream LLC

• Preferred Provider Organization in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.