Marissa Maxham, PTA
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · Flora, IL
Marissa Maxham, PTA is a hospice and palliative medicine (physical medicine & rehabilitation) physician with a practice address in Flora, Illinois, and NPI 1205405859, issued on Jun 18, 2021. Check the license (Illinois 160008997, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Marissa Maxham
- Credential
- PTA
- Primary taxonomy
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X
- License numbers
- 160008997 IL
160.008997 IL
Self-reported in NPPES; status is on the state search - Practice location
- 701 Shadwell Ave, Flora, IL 62839
- Phone
- (618) 662-8361
- Enumerated
- Jun 18, 2021
- Entity
- Type 1 · individual
Also registered at 701 Shadwell Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Heather Atkins, PTAPhysical Therapy Assistant1235823923
- Shelby CufflePhysical Therapy Assistant1073243747
- Nicole Ethridge, PTAPhysical Therapy Assistant1922733484
- Lara Healy, OTROccupational Therapist1033880653
- Katie VanblaricumSpeech-Language Pathologist1285147959
Verify Marissa Maxham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 160008997Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician providers in Illinois
There are 6 hospice and palliative medicine (physical medicine & rehabilitation) physician records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other hospice and palliative medicine (physical medicine & rehabilitation) physician records in Illinois
- Jaewon Jung, MDChicago, IL1144858788
- Richard Kiang, M.D.Crest Hill, IL1093939902
- Renu Mahajan, MDOak Park, IL1932311883
- Janaki Natarajan, M.D.Aurora, IL1306068200
- Nillawan Yongsmith, M.D.Darien, IL1275744070
Common questions
What is Marissa Maxham, PTA's NPI number?
Marissa Maxham, PTA's National Provider Identifier (NPI) is 1205405859, issued on Jun 18, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Marissa Maxham, PTA located?
The NPPES record lists a practice address at 701 Shadwell Ave, Flora, IL, 62839. Phone: (618) 662-8361. Providers update this record themselves, so call before visiting.
How can I verify Marissa Maxham, PTA's license?
NPPES lists Illinois license number 160008997, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.