Organization · Type 2 NPI

Maxider Corporation

Sports Physical Therapist · Venice, FL

NPI number 1780712539 Active

Practice location

389 Commercial Court, Suite C
Venice, FL 34292

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPT13467 (FL)
Geriatric Physical Therapist 2251G0304XPT13467 (FL)
Sports Physical Therapist Primary 2251S0007XPT13467 (FL)
Orthopedic Physical Therapist 2251X0800XPT13467 (FL)

Sports Physical Therapist: 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, medica…

3 other providers at this address

About NPI 1780712539

Maxider Corporation's National Provider Identifier is 1780712539, issued on Mar 2, 2007. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Venice, FL. The record was last updated on Sep 11, 2025.