Mobility Agility Chiropractic Performance PSC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOBILITY AGILITY CHIROPRACTIC PERFORMANCE PSC

Practice address

5275 Edina Industrial Blvd Ste 102
Edina, MN 55439-2902

Phone

(612) 564-0595

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Macdonald, DCNPI 1578012951

Title

Owner

Phone

(612) 564-0595

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa E Macdonald, DC

  • Chiropractor
  • Bloomington, MN
  • NPI 1578012951
  NPD Authorized official

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1669053757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 GREENFIELD AVE APT 12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124962",
            "telephone_number": "612-564-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392902",
            "telephone_number": "612-564-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY AGILITY CHIROPRACTIC PERFORMANCE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-564-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Deming Mjolsnes, D.D.S.
• MN Mental Health Consulting LLC
• Meaghan Moakley
• Mohamed Abdulkadir Moalin Ali
• Mobile Diagnostic Imaging, Inc
• Zach Mochinski, D.C.
• Moe Chiropractic PA
• Katie L Moe, CRNA
• Nicholas Clayton Moe, D.C.
• Allyson Leigh Moen, PT, DPT, ATC

• Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.