Individual provider Active NPI

Maxwell Maloney

  • Physical Therapist
  • Beaufort, SC
National Provider Identifier
1942031984
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
.12508 Issued in SC
Practice address
1900 Boundary St
Beaufort, SC 29902-6821
Phone
(843) 521-1970
NPI assigned
Aug 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 .12508 SC Primary

Addresses

Primary practice location

1900 Boundary St
Beaufort, SC 29902-6821

Mailing address

18 Bradford CT
Beaufort, SC 29902-3307
Phone (301) 448-2202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111001390 SC Practitioner - Physical Therapist in Private Practice 1153855325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.12508SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
Carolina Sportscare and Physical Therapy Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

1900 Boundary St
Ste 101
Beaufort, SC 29902
Phone (843) 521-1970

1900 Boundary St
Beaufort, SC 29902
Phone (402) 889-6501

2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538

Organizations & group practices 4

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1942031984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BRADFORD CT",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023307",
            "telephone_number": "301-448-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BOUNDARY ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026821",
            "telephone_number": "843-521-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "MAXWELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": ".12508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.