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PATHWAY TO RECOVERY LLC
NPI 1205683570
Internal Medicine - Addiction Medicine in Minneapolis, MN

Active since May 03, 2024
900 20TH AVE S, MINNEAPOLIS, MN 55404(612) 205-1113 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pathway To Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHWAY TO RECOVERY LLC (NPI 1205683570) is a healthcare organization registered as an addiction medicine in Minneapolis, Minnesota and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Minneapolis and lists Sadik Ali, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205683570
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NamePATHWAY TO RECOVERY LLC
Location Address900 20TH AVE SMinneapolis, MN 55404-2212
Mailing Address900 20th Ave SMinneapolis, MN 55404-2212 · (612) 205-1113
Phone(612) 205-1113
Organization SubpartYesParent: Saa Holdings Llc
Authorized OfficialSadik AliMedical Director · (612) 205-1113
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1205683570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
900 20TH AVE S, Minneapolis, MN 55404
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Secondary Practice Location 1

Location 1900 20th Ave S Ste BMinneapolis, MN 55404-2212 · Phone (612) 205-1113

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARI PETERSON LICSW
Social Worker (Clinical)
900 20TH AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 752-8637
PATHWAY TO RECOVERY LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
900 20TH AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 205-1113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathway To Recovery LLC's NPI number?

The NPI number for Pathway To Recovery LLC is 1205683570. It was assigned to this organization in the NPPES registry on May 3, 2024.

Where is Pathway To Recovery LLC located?

Pathway To Recovery LLC is located at 900 20th Ave S, Minneapolis, MN 55404. The listed phone number is (612) 205-1113.

What is Pathway To Recovery LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Pathway To Recovery LLC was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.