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MAXIDER CORPORATION
NPI 1780712539
Physical Therapist - Sports in Venice, FL

Active since March 02, 2007
389 COMMERCIAL COURT, SUITE C, VENICE, FL 34292(941) 488-6600 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Maxider Corporation NPPES

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

MAXIDER CORPORATION (NPI 1780712539), doing business as Excell Rehab, is a healthcare organization registered as a sports in Venice, Florida and active in the NPI registry since March 2007. The organization lists Pablo Edgardo Derboghossian, President, as its authorized official.

NPPES Registry Identity

NPI1780712539
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameMAXIDER CORPORATION
Location Address389 COMMERCIAL COURT, SUITE CVenice, FL 34292
Mailing Address389 Commercial Court, Suite CVenice, FL 34292 · (941) 488-6600
Phone(941) 488-6600
Organization SubpartNo
Authorized OfficialPablo Edgardo DerboghossianPresident · (941) 488-6600
Enumeration DateMarch 2, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1780712539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in FL · PT13467
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT13467 (FL)
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License PT13467 (FL)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License PT13467 (FL)

Other Names 1

Doing Business AsExcell Rehab

Other Identifiers 3

Other7042130FL · Aetna Number
OtherCG9065FL · Rr Medicare
OtherY903SFL · Blue Cross Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

QINGHONG HAN L. AC
Acupuncturist
389 COMMERCIAL COURT, SUITE B
VENICE, FL 34292
Sarasota County (941) 486-1555
POWEL A CROSLEY MD PL
Pain Medicine (Pain Medicine)
389 COMMERCIAL COURT, SUITE B
VENICE, FL 34292
Sarasota County (941) 485-1890
MRS. ANA LAURA MENDEZ
Physical Therapist (Sports)
389 COMMERCIAL COURT, SUITE C
VENICE, FL 34292
Sarasota County (941) 488-6600

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 Maxider Corporation's NPI number?

The NPI number for Maxider Corporation is 1780712539. It was assigned to this organization in the NPPES registry on March 2, 2007. The provider is doing business as Excell Rehab.

Where is Maxider Corporation located?

Maxider Corporation is located at 389 Commercial Court Suite C, Venice, FL 34292. The listed phone number is (941) 488-6600.

What is Maxider Corporation's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Maxider Corporation was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.