Activated Performance LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ACTIVATED PERFORMANCE LLC

Practice address

34 13TH Ave NE
Minneapolis, MN 55413-1002

Phone

(612) 378-1050

NPI assigned

May 4, 2021

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alex GuillienNPI 1568006005

Title

Ceo

Phone

(612) 440-7187

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Guillien

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1568006005
  NPD Authorized official
• James Tyler Miller, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1952171639
  NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1649853086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14190 XENON ST NW UNIT 8",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553039134",
            "telephone_number": "612-440-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131002",
            "telephone_number": "612-378-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATED PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "GUILLIEN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-440-7187",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34 13th Ave NE",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554131002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Hiniker Ackerman, PA
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• Ian Ackers, DO, PHD
• Joseph Acquaye, MD
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• Active Healing Inc

• Massage Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.