| NPI | 1215010335 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-10-23 |
| Last Updated | 2022-01-24 |
| Authorized Official | Rochelle Taube Owner Phone: 9529266489 |
| Mailing Address | 7701 York Ave S Ste 300 Edina, MN 55435-5864 United States Phone: (952) 926-6489 | Fax: (952) 926-6501 📍 View Map |
| Primary Practice Address | 7701 York Ave S Ste 300 Edina, MN 55435-5864 United States Phone: (952) 926-6489 | Fax: (952) 926-6501 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MN | 550095800 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | MN | 37465 |
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About NPI 1215010335
Edina Sports Health & Wellness, Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1215010335. The primary specialty listed is Family Medicine. The organization is located in Edina, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215010335?
NPI 1215010335 belongs to Edina Sports Health & Wellness, Pa, a Family Medicine in Edina, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215010335 active?
The current status of NPI 1215010335 in the NPPES registry is Active. The record was last updated on 2022-01-24.
What specialty is NPI 1215010335?
NPI 1215010335 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215010335?
You can verify NPI 1215010335 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215010335?
The primary practice address on file for NPI 1215010335 is 7701 York Ave S Ste 300, Edina, MN 55435-5864. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215010335 issued?
NPI 1215010335 was first issued (enumerated) on 2006-10-23. The NPPES record was last updated on 2022-01-24.
Practice Location Map
Edina Sports Health & Wellness, Pa is located at 7701 York Ave S Ste 300, Edina, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Edina Sports Health & Wellness, Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1215010335. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 37465 | MN |