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NPI · 1205405859 · NPPES-sourced

Marissa Maxham Pta

ActivePain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Number
1205405859
Type 1 · Individual
Contact
(618) 662-8361
License IL · 160008997
Last Updated
Enumerated
Primary practice addressIL · 62839-2310
701 Shadwell AveFlora, IL 62839-2310
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About this NPIWhat this record shows.

NPI 1205405859 is registered to Marissa Maxham Pta, a Pain Medicine (Physical Medicine & Rehabilitation) Physician practising at 701 Shadwell Ave in Flora, Illinois. Pain Medicine (Physical Medicine & Rehabilitation) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Marissa Maxham Pta has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Marissa Maxham Pta accepts. To confirm in-network status with your specific health plan, contact Marissa Maxham Pta directly at (618) 662-8361.

Frequently asked

Yes. NPI 1205405859 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (618) 662-8361.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Marissa Maxham Pta is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2081P2900X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Illinois.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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