Organization Active NPI

Maximum Function, LLC

  • Physical Therapist
  • Northfield, NJ
National Provider Identifier
1972963130
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAXIMUM FUNCTION, LLC
Practice address
625 Tilton Rd
Northfield, NJ 08225-1219
Phone
(609) 226-7420
Fax
(609) 318-5778
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Michelle Nieves, DPTNPI 1407816614
Title
Owner
Phone
(609) 226-7420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

625 Tilton Rd
Northfield, NJ 08225-1219

Mailing address

625 Tilton Rd
Northfield, NJ 08225-1219
Phone (609) 226-7420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170202000100 NJ Part B Supplier - Clinic/Group Practice 2668755414 Receives reassigned benefits from 1 practitioner
Practice locations: Northfield, NJ

National Provider Directory

National Provider Directory

Locations

625 Tilton Rd
Northfield, NJ 08225
Phone (609) 226-7420

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1972963130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251219",
            "telephone_number": "609-226-7420",
            "fax_number": "609-318-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251219",
            "telephone_number": "609-226-7420",
            "fax_number": "609-318-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM FUNCTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-226-7420",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.