Maxwell Samuelson, PT, DPT.
NPI 1053073080 · Physical Therapist · Mankato, MN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maxwell Samuelson, PT, DPT. is a Physical Therapist provider in Mankato, MN (NPI 1053073080).
Provider details
- NPI number
- 1053073080
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT.
- Sex
- Male
- Sole proprietor
- No
- License
- 13961 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 200 1st St SwRochester, MN 55905-0002Phone: (507) 284-2511
Registry dates
- Enumerated
- 2021-10-07
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Frequently asked questions
- What is Maxwell Samuelson's NPI number?
- Maxwell Samuelson's National Provider Identifier (NPI) is 1053073080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maxwell Samuelson's specialty?
- Maxwell Samuelson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Maxwell Samuelson located?
- Maxwell Samuelson's practice location on file with NPPES is 1025 Marsh St, Mankato, MN 56001-4752.
- What is Maxwell Samuelson's phone number?
- The practice phone number listed in the NPPES registry for Maxwell Samuelson is (507) 625-4031.
- Does Maxwell Samuelson accept Medicare?
- Maxwell Samuelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maxwell Samuelson's NPI active?
- Yes — Maxwell Samuelson's NPI (1053073080) is active in the NPPES registry as of the last update on 2025-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.