Marissa Maxham, PTA
NPI 1205405859 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Flora, IL
Marissa Maxham, PTA is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider in Flora, IL (NPI 1205405859).
Provider details
- NPI number
- 1205405859
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160.008997 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician2081H0002XLicense 160.008997 (IL)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-18
- Last updated
- 2021-06-18
- Certified
- 2021-05-29
Frequently asked questions
- What is Marissa Maxham's NPI number?
- Marissa Maxham's National Provider Identifier (NPI) is 1205405859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Maxham's specialty?
- Marissa Maxham is listed in the NPPES registry with a primary specialty of Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Marissa Maxham located?
- Marissa Maxham's practice location on file with NPPES is 701 Shadwell Ave, Flora, IL 62839-2310.
- What is Marissa Maxham's phone number?
- The practice phone number listed in the NPPES registry for Marissa Maxham is (618) 662-8361.
- Is Marissa Maxham's NPI active?
- Yes — Marissa Maxham's NPI (1205405859) is active in the NPPES registry as of the last update on 2021-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.