MRS. TIFFANY HEATHER MAXWELL PTA
NPI 1063268753
Physical Therapy Assistant in Idaho Falls, ID

Active since April 24, 2024
2037 E 17TH ST, IDAHO FALLS, ID 83404(208) 529-3355(208) 529-9581 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1063268753
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameMRS. TIFFANY HEATHER MAXWELLCredential: PTA
Location Address2037 E 17TH STIdaho Falls, ID 83404-6430
Mailing Address2037 E 17th StIdaho Falls, ID 83404-6430 · (208) 529-3355 · Fax (208) 529-9581
Fax(208) 529-9581
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 24, 2024
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1063268753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License✔ Licensed in ID · PTA5326
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
2037 E 17TH ST, Idaho Falls, ID 83404

Other Names 1

Former Name (1)Ms. Tiffany Heather Packer Pta

Other Identifiers 1

OtherPTA5326ID · Professional License

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).

PECOS PAC ID3971083551
PECOS Enrollment IDI20260213000324

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.

Orthopedic
2037 E 17TH ST
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.

Physical Therapist (Orthopedic)
2037 E 17TH ST
IDAHO FALLS, ID 83404
Physical Therapist
2037 E 17TH ST
IDAHO FALLS, ID 83404
Occupational Therapist
2037 E 17TH ST
IDAHO FALLS, ID 83404
Physical Therapy Assistant
2037 E 17TH ST
IDAHO FALLS, ID 83404
Physical Therapist
2037 E 17TH ST
IDAHO FALLS, ID 83404
Physical Therapist (Orthopedic)
2037 E 17TH ST
IDAHO FALLS, ID 83404

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.