Active NPI
Max Edward Nayden, P.T.
- Physical Therapist
- Flossmoor, IL
National Provider Identifier
1972616092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070010910
- Practice address
- 19801 Governors Hwy Ste 100
Flossmoor, IL 60422-4363 - Phone
- (708) 647-1500
- Fax
- (708) 647-1800
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 070010910 | IL | Primary |
Addresses
Primary practice location
19801 Governors Hwy Ste 100
Flossmoor, IL 60422-4363
Mailing address
11540 W 183Rd PL Unit a
Orland Park, IL 60467
Phone (708) 310-6733
Other practice location 1
3082 Caton Farm Rd
Joliet, IL 60435-1455
Phone (815) 577-9936
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070010910 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zjoint PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Oak Brook, IL
- NPI 1073448502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1972616092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11540 W 183RD PL UNIT A",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "60467",
"telephone_number": "708-310-6733",
"fax_number": "708-221-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19801 GOVERNORS HWY STE 100",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604224363",
"telephone_number": "708-647-1500",
"fax_number": "708-647-1800"
}
],
"practiceLocations": [
{
"address_1": "3082 Caton Farm Rd",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604351455",
"country_code": "US",
"telephone_number": "815-577-9936",
"fax_number": "815-577-9938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAYDEN",
"first_name": "MAX",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070010910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.