Active NPI
Tessera Wellness and Therapy PLLC
- Clinic/Center
- Minnetonka, MN
National Provider Identifier
1265354807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- TESSERA WELLNESS AND THERAPY PLLC
- Practice address
- 13911 Ridgedale Dr Ste 235
Minnetonka, MN 55305-1716 - Phone
- (612) 256-9602
- NPI assigned
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loni Fagel
- Title
- Owner
- Phone
- (612) 256-9602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
13911 Ridgedale Dr Ste 235
Minnetonka, MN 55305-1716
Mailing address
13911 Ridgedale Dr Ste 235
Minnetonka, MN 55305-1716
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1265354807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR STE 235",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR STE 235",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051716",
"telephone_number": "612-256-9602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TESSERA WELLNESS AND THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "FAGEL",
"authorized_official_first_name": "LONI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-256-9602"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.