DWAYNE E MAXAM (PT) – Physical Therapist, NPI 1285696401

DWAYNE E MAXAM (PT) is a healthcare provider. based in St louis, Missouri. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 113728 (MO). The NPI Number for DWAYNE E MAXAM (PT) is 1285696401

Main info

Male
Name
DWAYNE E MAXAM (PT)
NPI
1285696401
Phone
(314) 977-8739
Address
3437 CAROLINE MALL
Enumeration Date
4 April 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DWAYNE E MAXAM (PT)

  • 3437 CAROLINE MALL

    ST LOUIS, MO 631041111

    Phone: (314) 977-8739

    Fax: (314) 977-8513

    Type: Mailing

  • 3518, Laclede Avenue, Midtown, St. Louis, Missouri, 63103, United States

    MARCHETTI EAST

    ST LOUIS, MO 631032011

    Phone: (314) 977-2323

    Fax: (314) 977-7165

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 63104)

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Reviews

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Frequently asked questions

Can I use this page to confirm DWAYNE E MAXAM (PT)'s NPI?
Yes. DWAYNE E MAXAM (PT) is listed with NPI 1285696401 in the public NPI dataset.
Is DWAYNE E MAXAM (PT) still practicing?
DWAYNE E MAXAM (PT) is currently listed as active in the public NPI registry.
What taxonomy line describes DWAYNE E MAXAM (PT)?
For research purposes, treat DWAYNE E MAXAM (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DWAYNE E MAXAM (PT) serve?
DWAYNE E MAXAM (PT)'s listing highlights St Louis, Missouri; more addresses can appear in NPPES.
Why does DWAYNE E MAXAM (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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