Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Marissa Lynnae Maxham, PTA

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Flora, IL · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205405859

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Registry record

Entity type Individual (Type 1)

Name Marissa Lynnae Maxham

Credential PTA

Sex Female

Practice address 701 Shadwell Ave, Flora, IL, 62839

Phone (618) 662-8361

Enumeration date Jun 18, 2021

Last updated in NPPES Jun 18, 2021

Taxonomy & licenses

2081H0002X Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 160.008997 (IL) Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 160008997 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1205405859 active?

Yes, as of the latest NPPES snapshot, NPI 1205405859 is active (record last updated 2021-06-18).

How do I verify Marissa Maxham's NPI record?

Cross-check NPI 1205405859 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-18.