OrganizationActive
Active Therapeutics Institute, PA
NPI 1063570422 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Minnetonka, MN
Provider details
- NPI number
- 1063570422
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michael Sudit, President
Mailing address
10500 Wayzata Blvd
Minnetonka, MN 55305-1511
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.