Organization Active NPI

Level Up Fitness & Recovery LLC

  • Peer Specialist
  • Eden Prairie, MN
National Provider Identifier
1093521973
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
LEVEL UP FITNESS & RECOVERY LLC
Practice address
14400 Martin Dr
Eden Prairie, MN 55344-2031
Phone
(952) 444-9576
NPI assigned
Dec 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mr. Michael Matthew Munson, CPRS-RNPI 1447066329
Title
Certified Peer Recovery Specialist
Phone
(952) 288-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

14400 Martin Dr
Eden Prairie, MN 55344-2031

Mailing address

1055 Stoughton Ave
Chaska, MN 55318-2149

National Provider Directory

National Provider Directory

Locations

1055 Stoughton Ave
Chaska, MN 55318

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1093521973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 STOUGHTON AVE",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 MARTIN DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442031",
            "telephone_number": "952-444-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP FITNESS & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CERTIFIED PEER RECOVERY SPECIALIST",
        "authorized_official_telephone_number": "952-288-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPRS-R"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.