NPIMap

Organization Active NPI

Fitness 1St Training, Inc.

  • Athletic Trainer
  • Blaine, MN
National Provider Identifier
1396986972
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2141 Issued in MN
Legal business name
FITNESS 1ST TRAINING, INC.
Practice address
920 125TH LN NE
Blaine, MN 55434-3182
Phone
(612) 670-1565
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Mr. Daniel Edward Sandell, ATCNPI 1326289901
Title
Owner/Athletic Trainer
Phone
(612) 670-1565

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
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 2141 MN Primary

Addresses

Primary practice location

920 125TH LN NE
Blaine, MN 55434-3182

Mailing address

920 125TH LN NE
Blaine, MN 55434-3182
Phone (612) 670-1565

Other names 1

  • Black and Blue Boxing, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

920 125th Ln NE
Blaine, MN 55434
Phone (612) 670-1565

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": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1396986972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 125TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343182",
            "telephone_number": "612-670-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 125TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343182",
            "telephone_number": "612-670-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS 1ST TRAINING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/ATHLETIC TRAINER",
        "authorized_official_telephone_number": "612-670-1565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black and Blue Boxing, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.