Active NPI
Pathway to Recovery LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Minneapolis, MN
National Provider Identifier
1639851884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- PATHWAY TO RECOVERY LLC
- Practice address
- 900 20TH Ave S
Minneapolis, MN 55404-2212 - Phone
- (612) 205-1113
- NPI assigned
- Aug 7, 2023
- 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
- Dr. Sadik A Ali, MD
- Title
- Chief Manager
- Phone
- (612) 205-1113
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
900 20TH Ave S
Minneapolis, MN 55404-2212
Mailing address
2750 Cedar Ave S Unit 103
Minneapolis, MN 55407-1892
Phone (612) 205-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181137729 | Other | MN | 181137729 |
National Provider Directory
National Provider DirectoryLocations
3055 Old Highway 8
Ste 150
St Anthony, MN 55418
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rochester, MN
- NPI 1811377229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1639851884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 CEDAR AVE S UNIT 103",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071892",
"telephone_number": "612-205-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 20TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554042212",
"telephone_number": "612-205-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY TO RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-10-11",
"certification_date": "2023-10-10",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "SADIK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF MANAGER",
"authorized_official_telephone_number": "612-205-1113",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "181137729",
"identifier": "181137729",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.