Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Therapeutics Institute, PA

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1063570422

Active Therapeutics Institute, PA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Minnetonka, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10500 Wayzata Blvd
Minnetonka, MN 55305-1511
Phone: (952) 545-2225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1063570422
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Sudit — President · (952) 545-2225
NPI enumeratedDecember 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address10500 Wayzata Blvd, Minnetonka, MN 55305-1511