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

Individual provider Physical Therapy Assistant · NPI 1083928097

Mr. Maximiano Rallon, PTA is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2008, 18 years ago. Practices with Fox Rehabilitation Physical Therapy Services LLC, a 228-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 66003951 (NY)

Record details

NPI number1083928097
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 2, 2010
Last updated in NPPESAugust 2, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Fox Rehabilitation Physical Therapy Services Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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