Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxwell C Samuelson, PT, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1053073080

Maxwell C Samuelson, PT, DPT is a Physical Therapist in Private Practice in Mankato, Minnesota. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 625-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0002 — (507) 284-2511

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13961 (MN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 13961 (MN)

Record details

NPI number1053073080
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 7, 2021
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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