MEDICARE: MR. JEFFERY MAXWELL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT28961	CA

General Provider Information

NPI Number	:	1669468070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFERY MAXWELL PT

Provider Business Mailing Address
First Line	:	10050 SNOWY OWL WAY
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-5930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 EUREKA RD
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3027
Country	:	US
Telephone Number	:	916-784-5745
Fax Number	:	916-784-5745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	01/18/2022

Similar Medicare Providers

1356969711 — DR. PETER ADRIAN ALBA DAZA ADVANCED PHARMACIST
Practice Location Address:

1600 EUREKA RD
ROSEVILLE, CA
95661-3027

Practice Phone: 916-784-4000
Practice Fax:

1710989736 — DR. MATTHEW J MERMER MD
Practice Location Address:

1600 EUREKA RD , ORTHOPAEDICS 2ND FLOOR
ROSEVILLE, CA
95661-3027

Practice Phone: 916-784-5268
Practice Fax: 916-784-5194

1851393524 — MS. LIANNA MARIE EDWARDS FNP
Practice Location Address:

1600 EUREKA RD
ROSEVILLE, CA
95661-3027

Practice Phone: 916-784-4000
Practice Fax:

1629060967 — MRS. ALMA JEAN FIELDS R.N., F.N.P.-C
Practice Location Address:

1600 EUREKA RD
ROSEVILLE, CA
95661-3027

Practice Phone: 916-784-4169
Practice Fax: 916-784-5662

1003801820 — ELIZABETH BARBARA WILLERUP RNP
Practice Location Address:

1643 EUREKA RD
ROSEVILLE, CA
95661-3027

Practice Phone: 916-771-7627
Practice Fax: 916-771-7650

1346238078 — MS. THERESA K FLEMMING NP
Practice Location Address:

1600 EUREKA RD
ROSEVILLE, CA
95661-3027

Practice Phone: 916-784-4048
Practice Fax: 916-784-5604

Directions to “ MR. JEFFERY MAXWELL PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.