MRS. TIFFANY HEATHER MAXWELL PTA
NPI 1063268753
Physical Therapy Assistant in Idaho Falls, ID
About Mrs. Tiffany Heather Maxwell Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TIFFANY HEATHER MAXWELL PTA (NPI 1063268753) is an individual physical therapy assistant in Idaho Falls, Idaho, licensed in Idaho (PTA5326) and active in the NPI registry since April 2024. She is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Tiffany Heather Maxwell Pta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Maxwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiffany Maxwell's NPI number?
The NPI number for Tiffany Maxwell is 1063268753. It was assigned to this individual provider in the NPPES registry on April 24, 2024. The provider is also known as Ms. Tiffany Heather Packer Pta.
Where is Tiffany Maxwell located?
Tiffany Maxwell practices at 2037 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 529-3355.
What is Tiffany Maxwell's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
Is Tiffany Maxwell enrolled in Medicare?
Yes. Tiffany Maxwell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tiffany Maxwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Maxwell reassigns Medicare benefits to Teton Physical Therapy, Inc (Idaho Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Maxwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tiffany Maxwell was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.