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MAXWELL 21 MEDICAL, PC
NPI 1205216322
Physical Medicine & Rehabilitation - Sports Medicine in New York, NY

Active since June 03, 2015
111 BROADWAY RM 503, NEW YORK, NY 10006(212) 952-9355 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maxwell 21 Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL 21 MEDICAL, PC (NPI 1205216322) is a healthcare organization registered as a sports medicine in New York, New York and active in the NPI registry since June 2015. The organization lists Thania Louisor, Insurance, as its authorized official.

NPPES Registry Identity

NPI1205216322
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameMAXWELL 21 MEDICAL, PC
Location Address111 BROADWAY RM 503New York, NY 10006-1981
Mailing Address111 Broadway Rm 503New York, NY 10006-1981 · (212) 952-9355
Phone(212) 952-9355
Organization SubpartNo
Authorized OfficialThania LouisorInsurance · (212) 952-9355
Enumeration DateJune 3, 2015
✔ NPI 1205216322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedPhysical TherapistTaxonomy 225100000X
111 BROADWAY RM 503, New York, NY 10006
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KINJAL H PATEL PHYSICAL THERAPIST
Physical Therapist
111 BROADWAY RM 503
NEW YORK, NY 10006
New York County (212) 952-9355
HEIDI CHOE DO
Physical Medicine & Rehabilitation
111 BROADWAY RM 503
NEW YORK, NY 10006
New York County (212) 952-9355
TOMOKO OKASAKI ACUPUNCTURIST
Acupuncturist
111 BROADWAY RM 503
NEW YORK, NY 10006
New York County (212) 402-7355
DR. LIN-LIN WANG M.D.
Physical Medicine & Rehabilitation
111 BROADWAY RM 503
NEW YORK, NY 10006
New York County (212) 952-9355
CHRISTOPHER LEE PT
Physical Therapist
111 BROADWAY RM 503
NEW YORK, NY 10006
New York County (212) 952-9355

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 21 Medical, PC's NPI number?

The NPI number for Maxwell 21 Medical, PC is 1205216322. It was assigned to this organization in the NPPES registry on June 3, 2015.

Where is Maxwell 21 Medical, PC located?

Maxwell 21 Medical, PC is located at 111 Broadway Rm 503, New York, NY 10006. The listed phone number is (212) 952-9355.

What is Maxwell 21 Medical, PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Maxwell 21 Medical, PC was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.