Anthony Kenrick Maharaj, PA-C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12940 Issued in FL

Practice address

5000 Glen Coe St
Leesburg, FL 34748-7756

Phone

(386) 837-3376

NPI assigned

Sep 8, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Pain Care PLLC

  • Pain Clinic/Center
  • Clermont, FL
  • NPI 1114438215
  Medicare reassignment
• Gateway Medical Group LC

  • Cardiovascular Disease Physician
  • Okeechobee, FL
  • NPI 1124012422
  NPD (past)
• Raulerson Primary Care LLC

  • Internal Medicine Physician
  • Okeechobee, FL
  • NPI 1487881587
  NPD (past)
• Sebring Hospital Management Associates LLC

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1952344772
  NPD (past)

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1770918880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 GLEN COE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487756",
            "telephone_number": "386-837-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 GLEN COE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487756",
            "telephone_number": "386-837-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARAJ",
        "first_name": "ANTHONY",
        "middle_name": "KENRICK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-08",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mack, BA
• Bonni Lynn Macqueen, APN
• Macrodont Solutions Inc
• Hope E Maddix, APRN
• Dino Madonna, M.D
• Robert L. Maiello, M.D.
• Annamaria Maldonado, ARNP
• Diane Malecki, PTA
• Rolando M Malibiran, MD
• Leslie Malnasi, MD

• Physical Therapist in Leesburg, FL
• Providers in Leesburg, 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 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.