NPIMap

Organization Active NPI

Maxider Corporation

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1669501615
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19653 Issued in FL
Legal business name
MAXIDER CORPORATION
Practice address
2970 University Pkwy Ste 105
Sarasota, FL 34243-2401
Phone
(941) 360-1988
Fax
(941) 360-1998
NPI assigned
Mar 5, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jason Grabiak, PTA
Title
Pta/Owner
Phone
(941) 360-1988

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 27

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

View all 27

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000871 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385619154 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Fort Myers, FL; Sarasota, FL

National Provider Directory

National Provider Directory
Tax ID family
Maxider Corporation2 organizations share this tax ID

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

899 E Oak St
#B
Arcadia, FL 34266
Phone (863) 494-1437

2970 University Pkwy
Ste 105
Sarasota, FL 34243
Phone (941) 360-1988

5432 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 360-1988

5881 Whitfield Ave
Sarasota, FL 34243
Phone (941) 360-1988

2375 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 954-6969

5899 Whitfield Ave
Ste 202
Sarasota, FL 34243
Phone (941) 360-0200

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT13467 FL
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT19653 FL Primary
Geriatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251G0304X PT13467 FL
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X PT13467 FL
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X PT13467 FL

Addresses

NPPES NPI Registry

Primary practice location

2970 University Pkwy Ste 105
Sarasota, FL 34243-2401

Mailing address

2970 University Pkwy Ste 105
Sarasota, FL 34243-2401
Phone (941) 360-1988

Other practice location 1

12591 Creekside Ln
Fort Myers, FL 33919-3344
Phone (941) 360-1988

Other practice location 2

5432 Bee Ridge Rd
Sarasota, FL 34233-1514
Phone (941) 360-1988

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
7042130OtherFLAETNA GROUP NUMBER
244956206OtherFLUNITED HEALTH CARE
Y903ROtherFLBLUE CROSS GROUP NUMBER

Other names 1

NPPES NPI Registry
  • On the Go Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2025.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1669501615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 UNIVERSITY PKWY STE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432401",
            "telephone_number": "941-360-1988",
            "fax_number": "941-360-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 UNIVERSITY PKWY STE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432401",
            "telephone_number": "941-360-1988",
            "fax_number": "941-360-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12591 Creekside Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193344",
            "country_code": "US",
            "telephone_number": "941-360-1988",
            "fax_number": "941-360-1998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5432 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342331514",
            "country_code": "US",
            "telephone_number": "941-360-1988",
            "fax_number": "941-360-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAXIDER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "GRABIAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PTA/OWNER",
        "authorized_official_telephone_number": "941-360-1988",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13467",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19653",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT13467",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT13467",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT13467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "7042130",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "244956206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "Y903R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On the Go Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.