NPIMap

Organization Active NPI

Max Well Therapy LLC

  • Physical Therapist
  • Prior Lake, MN
National Provider Identifier
1881647337
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAX WELL THERAPY LLC
Practice address
14033 Commerce Ave NE
Prior Lake, MN 55372-1438
Phone
(952) 440-5906
Fax
(952) 440-5907
NPI assigned
May 18, 2006
Organization subpart
Yes
Parent organization
MAX WELL THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Jill M Maxwell, PT
Title
Owner
Phone
(952) 440-5906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14033 Commerce Ave NE
Prior Lake, MN 55372-1438

Mailing address

14033 Commerce Ave NE
Prior Lake, MN 55372-1438
Phone (952) 440-5906

Other identifiers 3

IdentifierTypeStateIssuer
AETNAOtherMN7368023
018K0MAOtherMNGROUP #
1819187OtherMNAMERICAS PPO

Other names 1

  • Max Well Physical therapy Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1881647337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14033 COMMERCE AVE NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721438",
            "telephone_number": "952-440-5906",
            "fax_number": "952-440-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14033 COMMERCE AVE NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721438",
            "telephone_number": "952-440-5906",
            "fax_number": "952-440-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX WELL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAX WELL THERAPY LLC",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-440-5906",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7368023",
            "identifier": "AETNA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "018K0MA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAS PPO",
            "identifier": "1819187",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max Well Physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.