Organization Active NPI

Pathway to Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1639851884
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Dr. Sadik A Ali, MDNPI 1811377229
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
181137729OtherMN181137729

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.