Erica Maxam, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024105 Issued in NY

Practice address

85 College St
HSS Ancillary Services, PC
Hamilton, NY 13346-1227

Phone

(315) 824-1252

Fax

(315) 824-8961

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

College St OrthopedicsGroup PAC ID 6608895230, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emaxam@hamiltonorthopedic.medentdirect.com

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.

• College St Orthopedics

  • Orthopaedic Surgery Physician
  • Hamilton, NY
  • NPI 1356300545
  Medicare reassignment Care Compare group NPD
• Helen M Sarandrea Physical Therapy PLLC

  • Physical Therapist
  • Clinton, NY
  • NPI 1730290156
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1982669263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "address_2": "HSS ANCILLARY SERVICES, PC",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1252",
            "fax_number": "315-824-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "address_2": "HSS ANCILLARY SERVICES, PC",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1252",
            "fax_number": "315-824-8961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Chenango Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NY",
            "postal_code": "133231399",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "578 Seneca St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212600",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E Locust St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134403508",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Culver Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135012015",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3061 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Herkimer",
            "state": "NY",
            "postal_code": "133501041",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5094 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "NY",
            "postal_code": "134951106",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Kellogg Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134132850",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7421 Oswego Rd",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130903309",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXAM",
        "first_name": "ERICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "024105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Marafino, D.C.
• Cindy Marshall, FNP
• Melanie E Martin, RPH
• Steven M Martin, PHARMD
• Mary Imogene Bassett Hospital
• Laura McCracken
• Patrick Joseph McGaugh, RPH
• Raymond John Meeks, MD
• Jennifer Laundy Meyers, MD
• Michael Zahn M.D., P.C.

• Physical Therapist in Hamilton, NY
• Providers in Hamilton, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.