STEPHEN MAZE PT
NPI 1457906802
Physical Medicine & Rehabilitation - Sports Medicine in Bala Cynwyd, PA

Active since August 02, 2019
100 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004(610) 668-0904 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen Maze Pt NPPES

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

STEPHEN MAZE PT (NPI 1457906802) is an individual sports medicine provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (PT028012) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1457906802
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameSTEPHEN MAZECredential: PT
Location Address100 PRESIDENTIAL BLVDBala Cynwyd, PA 19004-1108
Mailing Address100 Presidential BlvdBala Cynwyd, PA 19004-1108
Sole ProprietorYes
Enumeration DateAugust 2, 2019
✔ NPI 1457906802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in PA · PT028012
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.
100 PRESIDENTIAL BLVD, Bala Cynwyd, PA 19004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Maze Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Stephen Maze reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
1575 NORTH 25ND STREET
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 82 clinicians in this Medicare group
Orthopaedic Surgery
833 CHESTNUT ST STE 1220
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 361 clinicians in this Medicare group
Physical Therapy
1628 BUTLER PIKE
Conshohocken, PA 19428
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 77 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 20

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

Ophthalmology
100 PRESIDENTIAL BLVD, SUITE 100
BALA CYNWYD, PA 19004
Physical Therapist
100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Physical Therapist
100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Physical Therapist
100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Physical Therapist
100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Physical Therapist
100 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Ophthalmology
100 PRESIDENTIAL BLVD, SUITE 200
BALA CYNWYD, PA 19004
Ophthalmology
100 PRESIDENTIAL BLVD, SUITE 100
BALA CYNWYD, PA 19004

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 Stephen Maze's NPI number?

The NPI number for Stephen Maze is 1457906802. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Stephen Maze located?

Stephen Maze practices at 100 Presidential Blvd, Bala Cynwyd, PA 19004. The listed phone number is (610) 668-0904.

What is Stephen Maze's specialty?

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

Is Stephen Maze enrolled in Medicare?

Yes. Stephen Maze is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephen Maze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Maze reassigns Medicare benefits to 3 organizations: Novacare Outpatient Rehabilitation East, Inc. (Philadelphia, PA), Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA) and Rehabclinics (spt), Inc. (Conshohocken, PA). 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 Stephen Maze'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 Stephen Maze was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.