MAXWELL VANG
NPI 1003635657
Physical Therapist in Elk River, MN
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
Specialties & Licenses
- 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.
Secondary Practice Location 1
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
3Medicare 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.
Ramsey, MN 55303
- Reassigned Medicare billing, Minnesota enrollment
- 12 clinicians in this Medicare group
Brooklyn Park, MN 55445
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
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.
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.