Maxwell C Samuelson, PT, DPT.
Maxwell C Samuelson is a Physical Therapist provider (Physical Therapist) practicing in Mankato, MN, registered in the NPPES registry with NPI 1053073080 since 2021. The credential PT stands for Physical Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053073080 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Maxwell C Samuelson |
| Credential | PT, DPT. |
| Sex | Male |
| Practice address | 1025 MARSH ST, Mankato, MN, 56001 |
| Phone | 5076254031 |
| Enumeration date | 2021-10-07 |
| Last updated in NPPES | 2025-12-23 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | 13961 | MN |
| 225100000X | Physical Therapist | Primary | 13961 | MN |
PT — Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential
Copy-ready billing details
Provider: Maxwell Samuelson, PT, DPT. NPI: 1053073080 Taxonomy: 225100000X (Physical Therapist) Address: 1025 MARSH ST, Mankato, MN, 56001
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023019734 | Laurence O'Connor | Individual | Urology Physician | Mankato, MN |
| 1154316206 | James Milavetz | Individual | Cardiovascular Disease Physician | Mankato, MN |
| 1881680932 | Diana Stoermann | Individual | Registered Dietitian | Mankato, MN |
| 1447248463 | Jason Hayes | Individual | Radiation Oncology Physician | Mankato, MN |
| 1396736138 | Troy Hoehn | Individual | Athletic Trainer | Mankato, MN |
| 1952382905 | James Partridge | Individual | Surgery Physician | Mankato, MN |
| 1154302487 | Mayo Clinic Health System-Southwest Minnesota Region | Organization | General Acute Care Hospital | Mankato, MN |
| 1578545422 | Mayo Clinic Health System-Southwest Minnesota Region | Organization | Multi-Specialty Clinic/Center | Mankato, MN |
Verify this record
Cross-check NPI 1053073080 against the authoritative CMS record: view Maxwell C Samuelson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-12-23.