Re Active Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RE ACTIVE WELLNESS LLC

Practice address

109 W Main St
Pipestone, MN 56164-1651

Phone

(507) 522-5717

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Theresa Stangle, DPT

Title

Owner

Phone

(507) 522-5717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1033826003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-522-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-522-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE ACTIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "STANGLE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-522-5717",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pipestone County Medical Center Avera
• Pipestone Family Chiropractic, PA
• Maricia Joy Pronk, PA-C
• Matthew Paul Raschke, D.C.
• Ronald Lee Rasmussen
• Mitch L Reynolds, D.C.
• Ronald L. Rasmussen, DDS, Inc
• Sanford Medical Center
• Cindy A. Sash, PA
• Josephine Reyes Schelhaas, PSYCHOLOGY GRADUATE

• Physical Therapist in Pipestone, MN
• Providers in Pipestone, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.