Max Potential Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MAX POTENTIAL SPEECH THERAPY, LLC

Practice address

980 E Emory Rd
Knoxville, TN 37938-4617

Phone

(865) 859-9973

Fax

(865) 859-9773

NPI assigned

Apr 3, 2019

Organization subpart

No

Name

Jason R. MartinNPI 1336466556

Title

Owner

Phone

(865) 859-9973

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

• 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, last updated by the provider on Apr 3, 2019.

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1912469412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 E EMORY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379384617",
            "telephone_number": "865-859-9973",
            "fax_number": "865-859-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E EMORY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379384617",
            "telephone_number": "865-859-9973",
            "fax_number": "865-859-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX POTENTIAL SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-859-9973"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Max Potential Farragut, LLC
• Max Potential Occupational Therapy, LLC
• Max Potential Rehab Inc
• Max Potential Rehab, LLC
• David Joel Maxey, LCSW
• Maxim Healthcare Services, Inc
• Maximize the Dream LLC
• Brodrieka Niwande Maxwell-Davis
• Erica Kristen Maxwell

• All providers in Knoxville, TN
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.