Maverick Physiotherapy LLC
NPI 1073185393 · Physical Therapist · Saint Paul, MN
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maverick Physiotherapy LLC is a Physical Therapist organization in Saint Paul, MN (NPI 1073185393).
Provider details
- NPI number
- 1073185393
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mason Richlen, Co-Owner(715) 271-0303
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
1 documented practice location
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
Registry dates
- Enumerated
- 2021-07-15
- Last updated
- 2021-09-10
- Certified
- 2021-09-10
Frequently asked questions
- What is Maverick Physiotherapy LLC's NPI number?
- Maverick Physiotherapy LLC's National Provider Identifier (NPI) is 1073185393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maverick Physiotherapy LLC?
- Maverick Physiotherapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Maverick Physiotherapy LLC located?
- Maverick Physiotherapy LLC's practice location on file with NPPES is 155 Eaton St, Saint Paul, MN 55107-1602.
- What is Maverick Physiotherapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Maverick Physiotherapy LLC is (612) 642-1847.
- Does Maverick Physiotherapy LLC accept Medicare?
- Maverick Physiotherapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maverick Physiotherapy LLC?
- The authorized official listed on Maverick Physiotherapy LLC's NPPES record is Mason Richlen, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maverick Physiotherapy LLC's NPI active?
- Yes — Maverick Physiotherapy LLC's NPI (1073185393) is active in the NPPES registry as of the last update on 2021-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.