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MR. MAXWELL ENNIST LMT
NPI 1215535505
Massage Therapist in Bronx, NY

Active since October 09, 2020
210 BEDFORD PARK BLVD, BRONX, NY 10467(914) 315-9088 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Maxwell Ennist Lmt NPPES

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

MR. MAXWELL ENNIST LMT (NPI 1215535505) is an individual massage therapist in Bronx, New York, licensed in New York (0308231) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1215535505
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. MAXWELL ENNISTCredential: LMT
Location Address210 BEDFORD PARK BLVDBronx, NY 10467
Mailing Address3504 Rochambeau Ave Apt 1jBronx, NY 10467-1376 · (914) 315-9088
Phone(914) 315-9088
Sole ProprietorYes
Enumeration DateOctober 9, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1215535505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 0308231
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
210 BEDFORD PARK BLVD, Bronx, NY 10467
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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

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 Ennist's NPI number?

The NPI number for Maxwell Ennist is 1215535505. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Maxwell Ennist located?

Maxwell Ennist practices at 210 Bedford Park Blvd, Bronx, NY 10467. The listed phone number is (914) 315-9088.

What is Maxwell Ennist's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Maxwell Ennist was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.