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Organization
MAXIDER CORPORATION
Active
Organization
MAXIDER CORPORATION
Active
Other names
On the Go Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GRABIAK PTA (PTA/OWNER)
(941) 360-1988
Entity
Organization
Contact information
Practice address
2970 UNIVERSITY PKWY STE 105, SARASOTA, FL 34243-2401
(941) 360-1988
(941) 360-1998
Mailing address
2970 UNIVERSITY PKWY STE 105, SARASOTA, FL 34243-2401
(941) 360-1988
(941) 360-1998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT13467
FL
225100000X
Physical Therapist
Primary
PT19653
FL
2251G0304X
Geriatric Physical Therapist
PT13467
FL
2251S0007X
Sports Physical Therapist
PT13467
FL
2251X0800X
Orthopedic Physical Therapist
PT13467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244956206
UNITED HEALTH CARE
FL
01
—
7042130
AETNA GROUP NUMBER
FL
01
—
Y903R
BLUE CROSS GROUP NUMBER
FL
Enumeration date
03/05/2007
Last updated
06/26/2025
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