MAXWELL LANGDON MCKINNEY (PT) – Physical Therapist, NPI 1295168391

MAXWELL LANGDON MCKINNEY (PT) is a healthcare provider. based in Gresham, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT02611 (RI). The NPI Number for MAXWELL LANGDON MCKINNEY (PT) is 1295168391

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MAXWELL LANGDON MCKINNEY (PT)
NPI
1295168391
Phone
(503) 674-7860
Address
24076 SE STARK ST STE 200
Enumeration Date
13 August 2013
Last Update Date
25 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034911666
Graduation Year
2013 (13 years ago)
PAC ID
7012141807
Group Practice PAC ID
7517115579
Professional Enrollment ID
I20160123000162
Address ID
OR970303376GR24076STXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for MAXWELL LANGDON MCKINNEY (PT)

  • 24076 SE STARK ST STE 200

    GRESHAM ARMWORKS HAND TH LLC

    GRESHAM, OR 970303376

    Phone: (503) 674-7860

    Type: Mailing

  • 16016 BOONES FERRY RD STE 101

    LAKE OSWEGO, OR 970354353

    Phone: (503) 882-2351

    Fax: (503) 882-2348

    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: 2016-01-23

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
I20160123000162IPhysical Therapist In Private PracticeORTBD

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
97530Therapy procedure using functional activities53326$0
97018Application of hot wax bath6212$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4312$0
97164Re-evaluation for physical therapy, typically 20 minutes3216$0
97161Evaluation for physical therapy, typically 20 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 97030)

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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: 7517115579View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeNV
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeAZ
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for MAXWELL LANGDON MCKINNEY (PT)?
MAXWELL LANGDON MCKINNEY (PT) — NPI 1295168391 — is the standard way to identify this listing.
Can I rely on MAXWELL LANGDON MCKINNEY (PT) being an active provider?
As of the registry snapshot, MAXWELL LANGDON MCKINNEY (PT) is marked active.
What taxonomy line describes MAXWELL LANGDON MCKINNEY (PT)?
For research purposes, treat MAXWELL LANGDON MCKINNEY (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MAXWELL LANGDON MCKINNEY (PT) based?
MAXWELL LANGDON MCKINNEY (PT) is tied to Gresham, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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