MELISSA MAXWELL (PT) – Physical Therapist, NPI 1801877220

MELISSA MAXWELL (PT) is a healthcare provider. based in Valdosta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT22989 (FL). The NPI Number for MELISSA MAXWELL (PT) is 1801877220

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MAXWELL (PT)
NPI
1801877220
Phone
(229) 247-5225
Address
2109 N PATTERSON ST
Enumeration Date
11 November 2005
Last Update Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8503804657
Graduation Year
2000 (26 years ago)
PAC ID
3779091749
Group Practice PAC ID
3173865607
Professional Enrollment ID
I20250801000186
Address ID
FL341093400NA3255XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for MELISSA MAXWELL (PT)

  • 2109, North Patterson Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States

    SUITE A

    VALDOSTA, GA 316022946

    Phone: (229) 247-5225

    Fax: (229) 241-8471

    Type: Location

  • 2113 LA ROCHELLE DR

    TALLAHASSEE, FL 323085808

    Phone: (850) 877-8855

    Fax: (850) 219-1521

    Type: Mailing

  • 2109 N Patterson St

    Suite A

    Valdosta, GA 316022946

    Phone: (229) 247-5225

    Fax: (229) 241-8471

    Type: Location

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (502) 537-7690

    Fax: (812) 590-8333

    Type: Mailing

  • 1891 CAPITAL CIR NE STE 2

    TALLAHASSEE, FL 323084486

    Phone: (850) 877-8855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250801000186IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173865607View full group profile
NameSpecialtyState
-NJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeFL
-FL
-NJ
-FL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I cross-check MELISSA MAXWELL (PT) using NPI 1801877220?
NPI 1801877220 belongs to MELISSA MAXWELL (PT); compare other details if you need extra assurance.
Active or inactive — what applies to MELISSA MAXWELL (PT)?
You should see MELISSA MAXWELL (PT) as active in CMS-hosted NPPES data.
What expertise is attributed to MELISSA MAXWELL (PT)?
MELISSA MAXWELL (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Georgia is MELISSA MAXWELL (PT) registered?
Use Valdosta, Georgia as the headline location for MELISSA MAXWELL (PT) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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