NPIMap

Organization Active NPI

Sports & Family Wellness, PLLC

  • Medical Specialty Clinic/Center
  • Hopkins, MN
National Provider Identifier
1982030706
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
42084 Issued in MN
Legal business name
SPORTS & FAMILY WELLNESS, PLLC
Practice address
10909 Excelsior Blvd
Hopkins, MN 55343-3420
Phone
(952) 933-1151
NPI assigned
Sep 25, 2013
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Richard J Sinda, D.O.
Title
Owner
Phone
(952) 933-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 42084 MN Primary

Addresses

Primary practice location

10909 Excelsior Blvd
Hopkins, MN 55343-3420

Mailing address

10909 Excelsior Blvd
Hopkins, MN 55343-3420

National Provider Directory

National Provider Directory

Locations

6485 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 933-1150

10909 Excelsior Blvd
Hopkins, MN 55343
Phone (952) 595-5439

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1982030706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 EXCELSIOR BLVD",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 EXCELSIOR BLVD",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433420",
            "telephone_number": "952-933-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS & FAMILY WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "SINDA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-933-1151",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "42084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.