Maxca Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAXCA INC

Practice address

1800 Cortez Rd W Ste C
Bradenton, FL 34207-1335

Phone

(941) 870-7473

Fax

(941) 870-4915

NPI assigned

May 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pablo Der Boghossian, PTNPI 1922158484

Title

Owner, President

Phone

(941) 350-2239

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• P.T. Management Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pablo Edgardo Der Boghossian, P.T.

  • Physical Therapist
  • Bradenton, FL
  • NPI 1922158484
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1669110474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5887",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342775887",
            "telephone_number": "941-350-2239",
            "fax_number": "941-870-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CORTEZ RD W STE C",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071335",
            "telephone_number": "941-870-7473",
            "fax_number": "941-870-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "DER BOGHOSSIAN",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "941-350-2239",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "PT13467",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.T. Management Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P.T. Management Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Matunas, PHARMD
• Daniel Matute, BS
• Annetta J Matyasi, PTA
• Angela Hope Mauk, RD LDN
• Denise Lynn Maurer, MSN, APRN, FNP-C
• Maximize Inc
• Haley C Maxwell, PA
• Ellen Mays, DDS
• Eugenia Delphine Mays, ADULT FAMILY CARE HO
• Martika Mays

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.