Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Maxwell

Individual provider Physical Therapist · NPI 1851077127

Ian Maxwell is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Cloudline Physical Therapy LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
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Practice location Address checks out

1608 Walnut St Ste 200
Philadelphia, PA 19103-5426
Phone: (155) 458-7172
Fax: (215) 545-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT031566 (PA)

Record details

NPI number1851077127
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cloudline Physical Therapy Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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