Maxwell C Samuelson, PT, DPT is a
Physical Therapist physician based in Mankato, Minnesota. Maxwell C Samuelson is licensed to practice in Minnesota (license number 13961) and his current practice location is 1025 Marsh St, Mankato, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 625-4031.
NPI number for Maxwell C Samuelson is 1053073080 and his current mailing address is Po Box 860912, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053073080.
Physician's Profile
| Full Name | Maxwell C Samuelson |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1025 Marsh St, Mankato, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053073080
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 12/23/2025
Medical Identifiers
Medical identifiers for Maxwell C Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053073080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 13961 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 13961 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maxwell C Samuelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maxwell C Samuelson, PT, DPT
Po Box 860912,
Minneapolis, MN 55486-0912
Ph: (507) 284-2511 | Maxwell C Samuelson, PT, DPT
1025 Marsh St,
Mankato, MN 56001-4752
Ph: (507) 625-4031 |
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