MAXWELL C SAMUELSON PT, DPT.
NPI 1053073080
Physical Therapist in Mankato, MN
About Maxwell C Samuelson Pt, Dpt. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL C SAMUELSON PT, DPT. (NPI 1053073080) is an individual physical therapist in Mankato, Minnesota, licensed in Minnesota (13961) and active in the NPI registry since October 2021. He maintains a secondary practice location in Rochester and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
- 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
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxwell C Samuelson Pt, Dpt. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maxwell Samuelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mankato, MN 56001
- Reassigned Medicare billing, Minnesota enrollment
- 1,572 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 20
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 Samuelson's NPI number?
The NPI number for Maxwell Samuelson is 1053073080. It was assigned to this individual provider in the NPPES registry on October 7, 2021.
Where is Maxwell Samuelson located?
Maxwell Samuelson practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.
What is Maxwell Samuelson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Maxwell Samuelson enrolled in Medicare?
Yes. Maxwell Samuelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maxwell Samuelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maxwell Samuelson reassigns Medicare benefits to Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN). The 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 Samuelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maxwell Samuelson accept?
Health plans from Medica and Sanford Health Plan list Maxwell Samuelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Maxwell Samuelson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.