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Advanced Wellness & Sports Rehab PA

Sports Physician Chiropractor in Champlin, MN · enumerated 2014 · authorized official Diane Smith, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790181915

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Wellness & Sports Rehab PA
Practice address 11132 Commerce Ln N, Champlin, MN, 55316
Phone (763) 291-0202
Enumeration date Nov 16, 2014
Last updated in NPPES Mar 17, 2018

Taxonomy & classification

111NS0005X Sports Physician Chiropractor Chiropractic Providers · License 5614 (MN) Primary

Authorized official

Name Diane Smith
Title President
Phone (763) 458-6299

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Advanced Wellness & Sports Rehab PA?
NPPES lists Diane Smith (President) as the authorized official for this organization.
What is the NPI number for Advanced Wellness & Sports Rehab PA?
The NPI for Advanced Wellness & Sports Rehab PA is 1790181915, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-17.