Organization Active NPI

Maximum Physical Therapy, LLC

Doing business as Maximum Physical Therapy

  • Physical Therapy Clinic/Center
  • Adel, IA
National Provider Identifier
1912316969
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
03575 Issued in IA
Legal business name
MAXIMUM PHYSICAL THERAPY, LLC
Doing business as
Maximum Physical Therapy
Practice address
817 Main St
Adel, IA 50003-1450
Phone
(515) 993-2170
Fax
(515) 993-2174
NPI assigned
Aug 4, 2014
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Memory Sue Porter, PTNPI 1508940453
Title
Owner
Phone
(515) 975-9525

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 03575 IA Primary

Addresses

Primary practice location

817 Main St
Adel, IA 50003-1450

Mailing address

817 Main St
Adel, IA 50003-1478
Phone (515) 993-2170

Other names 1

  • Maximum Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251025000185 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012405509 Receives reassigned benefits from 1 practitioner
Practice locations: Adel, IA

National Provider Directory

National Provider Directory

Locations

817 Main St
Adel, IA 50003
Phone (515) 993-2170

817 Main St
Ste A
Adel, IA 50003
Phone (515) 993-2170

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1912316969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031478",
            "telephone_number": "515-993-2170",
            "fax_number": "515-993-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031450",
            "telephone_number": "515-993-2170",
            "fax_number": "515-993-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MEMORY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-975-9525",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "03575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maximum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.