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

Jessica Maxwell, DPT

Individual provider Physical Therapist · NPI 1407438609

Jessica Maxwell, DPT is a Physical Therapist in Private Practice in Williamsville, New York. Qualified in 2012, 14 years ago. Practices with Diversified Services for Occupational Therapy Physical Ther, a 24-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 College Pkwy Ste 101
Williamsville, NY 14221-6885
Phone: (716) 362-1552
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 035354-01 (NY)

Record details

NPI number1407438609
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedApril 27, 2021
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Diversified Services For Occupational Therapy Physical Ther — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Williamsville