MAVERICK PHYSIOTHERAPY LLC
NPI 1073185393
Physical Therapist in Saint Paul, MN
About Maverick Physiotherapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAVERICK PHYSIOTHERAPY LLC (NPI 1073185393) is a healthcare organization registered as a physical therapist in Saint Paul, Minnesota and active in the NPI registry since July 2021. The organization lists Mason Richlen, Co-owner, as its authorized official.
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.
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maverick Physiotherapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Maverick Physiotherapy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Maverick Physiotherapy LLC's NPI number?
The NPI number for Maverick Physiotherapy LLC is 1073185393. It was assigned to this organization in the NPPES registry on July 15, 2021.
Where is Maverick Physiotherapy LLC located?
Maverick Physiotherapy LLC is located at 155 Eaton St, Saint Paul, MN 55107. The listed phone number is (612) 642-1847.
What is Maverick Physiotherapy LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Maverick Physiotherapy LLC enrolled in Medicare?
Yes. Maverick Physiotherapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maverick Physiotherapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Maverick Physiotherapy LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Maverick Physiotherapy LLC accept?
Health plans from Sanford Health Plan list Maverick Physiotherapy LLC 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 Maverick Physiotherapy LLC was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.