Medifit Health, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MEDIFIT HEALTH, LLC

Practice address

9201 Quaday Ave NE Ste 203
Otsego, MN 55330-6604

Phone

(320) 309-4781

NPI assigned

Sep 2, 2014

Organization subpart

Yes

Parent organization

REJUV MEDICAL, PAAs reported in NPPES

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

Authorized official

Name

Joel Baumgartner, M.D.

Title

Director

Phone

(320) 352-8475

Specialties & licenses 1

Addresses

Other names 1

• Rejuv Medical Otsego Other name

Part of

Rejuv Medical PA

Locations

Practitioners 1

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

• Brittney Lee Braegelmann, DPT

  • Sports Physical Therapist
  • Waite Park, MN
  • NPI 1942521513
  NPD

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1831599430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 QUADAY AVE NE STE 203",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306604",
            "telephone_number": "320-309-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 QUADAY AVE NE STE 203",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306604",
            "telephone_number": "320-309-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIFIT HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REJUV MEDICAL, PA",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-352-8475",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuv Medical Otsego",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Martinson
• Mikki K Mason, LMFT, LADC
• Megan Cole Matteson, COTA/L
• Chad Jeffrey Mattila, D.C.
• Megan Louise McChesney, NP
• Christine Meierhofer
• Ann Clare Melde-Rahe, M.S, LPCC
• Marcus Piers Mensahn
• Jamie Michael Mersola
• Sierra Miks

• Medical Specialty Clinic/Center in Otsego, MN
• Providers in Otsego, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.