Individual provider Active NPI

Maxwell Scott Janczak, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1902476179
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070026269 Issued in IL
Practice address
6285 N Knox Ave
Chicago, IL 60646-5032
Phone
(773) 499-9313
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070026269 IL Primary

Addresses

Primary practice location

6285 N Knox Ave
Chicago, IL 60646-5032

Mailing address

909 W Euclid Ave Unit 853
Arlington Heights, IL 60006-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070026269ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxwell Physical Therapy, LLC CurrentSince May 28, 2023 Accepting new patients
Little Steps Pediatric Physical Therapy PC PastSince Jul 1, 2021 Accepting new patients

Locations

909 W Euclid Ave
Unit 853
Arlington Heights, IL 60006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1902476179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W EUCLID AVE UNIT 853",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600062134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 N KNOX AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465032",
            "telephone_number": "773-499-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCZAK",
        "first_name": "MAXWELL",
        "middle_name": "SCOTT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070026269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.