MAXWELL VANG
NPI 1003635657
Physical Therapist in Elk River, MN

Active since October 09, 2024
18334 JOPLIN ST NW, ELK RIVER, MN 55330(612) 230-0308 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Oct 9, 2024 (2 updates tracked since 2024).

About Maxwell Vang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL VANG (NPI 1003635657) is an individual physical therapist in Elk River, Minnesota, licensed in Minnesota (13680) and active in the NPI registry since October 2024. He maintains a secondary practice location in Maple Grove.

NPPES Registry Identity

NPI1003635657
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMAXWELL VANG
Location Address18334 JOPLIN ST NWElk River, MN 55330-1773
Mailing Address20299 Engen Blvd NwNowthen, MN 55330-8020
Sole ProprietorNo
Enumeration DateOctober 9, 2024
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1003635657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 13680
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
18334 JOPLIN ST NW, Elk River, MN 55330

Secondary Practice Location 1

Location 115301 Grove Cir NMaple Grove, MN 55369-4475 · Phone (952) 993-5900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxwell Vang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Maxwell Vang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
9457 HIGHWAY 10 NW
Ramsey, MN 55303
  • Reassigned Medicare billing, Minnesota enrollment
  • 12 clinicians in this Medicare group
Family Medicine
7000 TARGET PKWY N
Brooklyn Park, MN 55445
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
Orthopaedic Surgery
8100 NORTHLAND DR
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 693 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
18334 JOPLIN ST NW
ELK RIVER, MN 55330
Speech-Language Pathologist
18334 JOPLIN ST NW
ELK RIVER, MN 55330
Occupational Therapist
18334 JOPLIN ST NW
ELK RIVER, MN 55330
Occupational Therapist
18334 JOPLIN ST NW
ELK RIVER, MN 55330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Vang's NPI number?

The NPI number for Maxwell Vang is 1003635657. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Maxwell Vang located?

Maxwell Vang practices at 18334 Joplin St NW, Elk River, MN 55330. The listed phone number is (612) 230-0308.

What is Maxwell Vang's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Maxwell Vang enrolled in Medicare?

Yes. Maxwell Vang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maxwell Vang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxwell Vang reassigns Medicare benefits to 3 organizations: Hands Hooves And Hearts Therapeutic Services LLC (Ramsey, MN), Park Nicollet Clinic (Brooklyn Park, MN) and Tria Orthopaedic Center LLC (Bloomington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maxwell Vang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maxwell Vang was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.