Organization Active NPI

Fluid Health and Fitness

  • Physical Therapist
  • Stillwater, MN
National Provider Identifier
1760096424
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLUID HEALTH AND FITNESS
Practice address
5639 Memorial Ave N
Stillwater, MN 55082-1092
Phone
(844) 358-4343
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Ryan Maxwell
Title
Owner
Phone
(651) 983-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5639 Memorial Ave N
Stillwater, MN 55082-1092

Mailing address

5639 Memorial Ave N
Stillwater, MN 55082-1092
Phone (844) 358-4343

National Provider Directory

National Provider Directory

Locations

5639 Memorial Ave N
Stillwater, MN 55082
Phone (844) 358-4343

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1760096424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 MEMORIAL AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821092",
            "telephone_number": "844-358-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 MEMORIAL AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821092",
            "telephone_number": "844-358-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUID HEALTH AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-983-1368"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.