MAXWELL C SAMUELSON PT, DPT.
NPI 1053073080
Physical Therapist in Mankato, MN

Active since October 07, 2021
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2025, Apr 27, 2022, Oct 7, 2021 (3 updates tracked since 2021).

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

NPI1053073080
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMAXWELL C SAMUELSONCredential: PT, DPT.
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 7, 2021
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1053073080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MN · 13961
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 13961 (MN)
1025 MARSH ST, Mankato, MN 56001

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0002 · Phone (507) 284-2511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maxwell C Samuelson Pt, Dpt. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456830975
PECOS Enrollment IDI20260205001116

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.

Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001

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.

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 7 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.