Max Motion Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MAX MOTION PHYSICAL THERAPY, LLC

Practice address

250A Olmsted Blvd
Pinehurst, NC 28374-9023

Phone

(423) 238-7217

Fax

(423) 238-3473

NPI assigned

Jul 2, 2012

Organization subpart

No

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

Authorized official

Name

Kevin Johanneson

Title

VP Revenue Cycle

Phone

(423) 238-7217

Specialties & licenses 3

Addresses

Tax ID family

Max Motion Physical Therapy LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Max Motion Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Pinehurst, NC
  • NPI 1215286620
  NPD tax ID
• Max Motion Physical Therapy, LLC

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1700252681
  NPD tax ID
• Maxmotion Physical Therapy

  • Physical Therapist
  • Hickory, NC
  • NPI 1366813768
  NPD tax ID

Locations

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1972867125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250A OLMSTED BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749023",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX MOTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "JOHANNESON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "423-238-7217"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavielle Mason
• Elizabeth Leanna Mataxis, OTR
• Zyaja Mattocks
• Max Motion Physical Therapy LLC
• Max Motion Physical Therapy, LLC
• Bobby R Maynor Jr., MD
• Carolyn H Maynor, MD
• Regina Mays
• Serena Mazzurco
• Mary Nyasa Mbongeh, PHARMD

• Physical Therapy Clinic/Center in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.