KATHY ELAINE MAXEY (NPI# 1003025446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003025446 |
| Entity Type | Individual |
| Full Name | KATHY ELAINE MAXEY |
| Credential | PT, ATC |
| Practice Address |
1100 Club Village Dr Suite 103 Columbia MO 65203-4409 |
| Mailing Address |
2308 Kyle Dr Columbia MO 65203-5705 |
| Practice Telephone | 5732562777 |
| Practice Fax Number | 5732562764 |
| Mailing Telephone | 5734450595 |
| Mailing Fax Number | 5732562764 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
01865 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 CLUB VILLAGE DR SUITE 103 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295784197 | Rehab Outreach, L.L.C. | Clinic/Center | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2006-05-08 |
| 1700311016 | Kelsey Webb | Physical Therapy Assistant | 1100 Club Village Dr, 103, Columbia, MO 65203-4409 | 2017-04-24 |
| 1699225896 | Katilyn Brooke Pabst | Occupational Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2016-10-11 |
| 1144770702 | Mary Bell | Physical Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2016-10-07 |
| 1902353584 | Linda Delp | Physical Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2016-09-01 |
| 1417314550 | Anne Bentley | Health Educator | 1100 Club Village Dr, St 103, Columbia, MO 65203-4409 | 2016-01-20 |
| 1538532650 | Samantha Shea Lemoins | Occupational Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2015-11-11 |
| 1245619683 | Joanna Miller | Physical Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2015-05-19 |
| 1225421233 | Katherine Eaton | Speech-Language Pathologist | 1100 Club Village Dr, Columbia, MO 65203-4409 | 2015-03-16 |
| 1083005557 | Laura Kay Meeker | Occupational Therapy Assistant | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467513978 | Chesapeake Physical Aquatic Therapy Inc | Physical Therapist | 7080 Deepage Dr, Columbia, MD 21045-5219 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447652540 | Jay L Maturan | Physical Therapist | 605 E Booneslick Rd Ste 3, Warrenton, MO 63383-2127 | 2014-09-19 |
| 1306255005 | Kara Evens | Physical Therapist | 17300 North Outer 40 Rd, Suite 202, Chesterfield, MO 63005-1375 | 2014-08-06 |
| 1427060250 | Herbert Jones Haman | Physical Therapist | 850 E San Martin St, Bolivar, MO 65613-2897 | 2006-08-12 |
| 1235160193 | Douglas D Lenners | Physical Therapist | 801 Riverside, Suite 250, St. Joseph, MO 64505 | 2006-07-06 |
| 1467973412 | Thomas Hargrave | Physical Therapist | 3801 Selsa Rd Ste 7, Independence, MO 64057-1712 | 2017-06-29 |
| 1114303369 | Kevin Murray | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2015-08-10 |
| 1376923730 | Benjamin Kuster | Physical Therapist | 1002 Diamond Rdg, Jefferson City, MO 65109-6896 | 2015-06-01 |
| 1639502610 | Todd A Chollet | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2013-08-14 |
| 1881942571 | Boost Physical Therapy & Sport Perforance | Physical Therapist | 1254 Se Century Dr, Lees Summit, MO 64081-3286 | 2012-08-28 |
| 1205184066 | Aaron A Degreeff | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2012-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.