MAXWELL EDISON SMITH PT, DPT
NPI 1326670456
Physical Therapist in Santa Rosa, CA
About Maxwell Edison Smith Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL EDISON SMITH PT, DPT (NPI 1326670456) is an individual physical therapist in Santa Rosa, California, licensed in California (298135) and active in the NPI registry since February 2020.
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxwell Edison Smith Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Maxwell Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Rosa, CA 95403
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95403
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 Smith's NPI number?
The NPI number for Maxwell Smith is 1326670456. It was assigned to this individual provider in the NPPES registry on February 6, 2020.
Where is Maxwell Smith located?
Maxwell Smith practices at 140 Wikiup Dr, Santa Rosa, CA 95403. The listed phone number is (707) 542-5400.
What is Maxwell Smith's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Maxwell Smith enrolled in Medicare?
Yes. Maxwell Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Maxwell Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maxwell Smith reassigns Medicare benefits to 2 organizations: Peltz And Associates Physical Therapy Inc (Santa Rosa, CA) and Permanente Medical Group Inc (Vallejo, CA). 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 Smith'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 Maxwell Smith was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.