Active Therapeutics Institute, PA

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

ACTIVE THERAPEUTICS INSTITUTE, PA

Practice address

10500 Wayzata Blvd
Minnetonka, MN 55305-1511

Phone

(952) 545-2225

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Sudit, DDSNPI 1396965570

Title

President

Phone

(952) 545-2225

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael S Sudit, D.D.S.

  • General Practice Dentistry
  • Minnetonka, MN
  • NPI 1396965570
  Authorized official Same address or phone

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063570422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051511",
            "telephone_number": "952-545-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051511",
            "telephone_number": "952-545-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE THERAPEUTICS INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUDIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-545-2225",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accra Home Care Inc
• Achieve Health Chiropractic Clinic, P.a.
• Acme Transportation
• Acqua Chiropractic Spa (Conscious Living Clinic)
• Active Day MN, Inc. (Active Day of Minnetonka)
• Jeannine Adair
• Adam Jade Ventures, Inc (DBA Legacy Care Home)
• Erik William Adamek, RPH
• Christopher Adams, M.D.
• Corrina Kelley Adams

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.