NICHOLAS MARK MAXWELL LMT
NPI 1477136455
Massage Therapist in Portland, OR

Active since April 28, 2021
5300 NE 73RD AVE, PORTLAND, OR 97218(512) 293-7721 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Mark Maxwell Lmt NPPES

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

NICHOLAS MARK MAXWELL LMT (NPI 1477136455) is an individual massage therapist in Portland, Oregon, licensed in Oregon (26275) and active in the NPI registry since April 2021. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1477136455
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameNICHOLAS MARK MAXWELLCredential: LMT
Location Address5300 NE 73RD AVEPortland, OR 97218-3717
Mailing Address5300 Ne 73rd AvePortland, OR 97218-3717 · (512) 293-7721
Sole ProprietorYes
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
NPI 1477136455 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 OR · 26275
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.
5300 NE 73RD AVE, Portland, OR 97218

Secondary Practice Location 1

Location 11421 SE Ankeny StPortland, OR 97214-1471 · Phone (503) 284-6996

Accepted Insurance

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 Nicholas Maxwell's NPI number?

The NPI number for Nicholas Maxwell is 1477136455. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Nicholas Maxwell located?

Nicholas Maxwell practices at 5300 NE 73rd Ave, Portland, OR 97218. The listed phone number is (512) 293-7721.

What is Nicholas Maxwell's specialty?

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

What insurance does Nicholas Maxwell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Nicholas Maxwell 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 Nicholas Maxwell was last updated on April 28, 2021. 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.