JILLAYNE MARIA MAXWELL (PT) – Physical Therapist, NPI 1083647895

JILLAYNE MARIA MAXWELL (PT) is a healthcare provider. based in Prior lake, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501004033 (MI). The NPI Number for JILLAYNE MARIA MAXWELL (PT) is 1083647895

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
JILLAYNE MARIA MAXWELL (PT)
NPI
1083647895
Phone
(952) 440-5906
Address
14033 COMMERCE AVE NE STE 180
Enumeration Date
8 July 2006
Last Update Date
7 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102309750
Graduation Year
1987 (39 years ago)
PAC ID
0749188209
Group Practice PAC ID
7113825670
Professional Enrollment ID
I20080116000396
Address ID
MI485323499FL1289XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for JILLAYNE MARIA MAXWELL (PT)

  • 14033 COMMERCE AVE NE STE 180

    PRIOR LAKE, MN 553721438

    Phone: (952) 440-5906

    Fax: (952) 440-5907

    Type: Location

  • 14033 Commerce Ave NE Ste 180

    Prior Lake, MN 553721438

    Phone: (952) 440-5906

    Fax: (952) 440-5907

    Type: Location

  • 1289 S LINDEN RD STE A

    FLINT, MI 485323499

    Phone: (952) 440-5906

    Fax: (952) 440-5907

    Type: Mailing

  • North Linden Road, Flint Township, Genesee County, Michigan, 48532, United States

    STE B

    FLINT, MI 485324194

    Phone: (952) 440-5906

    Fax: (952) 440-5907

    Type: Mailing

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: 2008-01-16

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
I20080116000396IPhysical Therapist In Private PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes66046$0
97530Therapy procedure using functional activities52048$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30640$0
97140Therapy procedure using manual technique, each 15 minutes30341$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care11927$0
View full utilization report →

Insurance plans in this area (ZIP 55372)

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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: 7113825670View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
-MI
Qualified Speech Language PathologistMI
-MI
-MI
Occupational Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the registry number for JILLAYNE MARIA MAXWELL (PT)?
The registry entry for JILLAYNE MARIA MAXWELL (PT) shows NPI 1083647895.
Quick check: is JILLAYNE MARIA MAXWELL (PT) active?
Public NPPES data shows JILLAYNE MARIA MAXWELL (PT) with an active NPI status right now.
What does the directory say JILLAYNE MARIA MAXWELL (PT) does?
Insurance directories may phrase it differently, but here JILLAYNE MARIA MAXWELL (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JILLAYNE MARIA MAXWELL (PT)?
JILLAYNE MARIA MAXWELL (PT) shows a connection to Prior Lake, Minnesota in registry-derived data.
Who maintains JILLAYNE MARIA MAXWELL (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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