Active NPI
Madison Camarie Maxey, PTA
- Physical Therapy Assistant
- Middletown, MD
National Provider Identifier
1922771807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5439
- Practice address
- 205 S Church St Ste B
Middletown, MD 21769-8144 - Phone
- (301) 371-8121
- NPI assigned
- Jul 27, 2021
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5439 | MD | Primary |
Addresses
Primary practice location
205 S Church St Ste B
Middletown, MD 21769-8144
Mailing address
11277 Dublin Rd
Woodsboro, MD 21798-9004
Phone (240) 385-4652
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5439 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1922771807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11277 DUBLIN RD",
"city": "WOODSBORO",
"state": "MD",
"postal_code": "217989004",
"telephone_number": "240-385-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S CHURCH ST STE B",
"city": "MIDDLETOWN",
"state": "MD",
"postal_code": "217698144",
"telephone_number": "301-371-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "MADISON",
"middle_name": "CAMARIE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A5439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.