MAXWELL KETSCHKE
NPI 1194456731
Physical Therapist in Kew Gardens, NY
About Maxwell Ketschke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL KETSCHKE (NPI 1194456731) is an individual physical therapist in Kew Gardens, New York and active in the NPI registry since June 2022. He is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maxwell Ketschke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Maxwell Ketschke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kew Gardens, NY 11415
- Reassigned Medicare billing, New York enrollment
- 518 clinicians in this Medicare group
Forest Hills, NY 11375
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
Harrison, NY 10528
- Reassigned Medicare billing, New York enrollment
- 335 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
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 Maxwell Ketschke's NPI number?
The NPI number for Maxwell Ketschke is 1194456731. It was assigned to this individual provider in the NPPES registry on June 23, 2022.
Where is Maxwell Ketschke located?
Maxwell Ketschke practices at 8002 Kew Gardens Rd Fl 4, Kew Gardens, NY 11415. The listed phone number is (347) 954-0978.
What is Maxwell Ketschke's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Maxwell Ketschke enrolled in Medicare?
Yes. Maxwell Ketschke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Maxwell Ketschke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maxwell Ketschke reassigns Medicare benefits to 3 organizations: Professional Occupational & Physical Therapy, PLLC (Kew Gardens, NY), Queens Medical Pavilion,llc (Forest Hills, NY) and Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Harrison, NY). Each 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 Maxwell Ketschke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maxwell Ketschke accept?
Health plans from Oscar Health list Maxwell Ketschke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Maxwell Ketschke was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Maxwell Ketschke · NPI 1194456731
Physical Therapist provider in Kew Gardens, New York. Individual provider, active in the CMS NPPES registry since June 23, 2022.
## Identity
- **NPI:** 1194456731 (Entity type: Individual)
- **Enumerated:** June 23, 2022
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8002 KEW GARDENS RD FL 4, Kew Gardens, NY 11415-3604
- **Phone:** (347) 954-0978
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Professional Occupational & Physical Therapy, PLLC (NPI 1851841423, Kew Gardens, NY); Queens Medical Pavilion,llc (NPI 1124384136, Forest Hills, NY); Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (NPI 1396799409, Harrison, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194456731) · Data from the CMS NPPES public registry.