ACTIVE WELLNESS LLC (NPI# 1972151595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972151595 |
| Entity Type | Organization |
| Organization Name | ACTIVE WELLNESS LLC |
| Practice Address |
120 Sw 4th St Ste 170 Corvallis OR 97333-4896 |
| Mailing Address |
2135 Nw Evergreen St Corvallis OR 97330-1109 |
| Practice Telephone | 5412865445 |
| Practice Fax Number | 8005274735 |
| Mailing Telephone | 5418299505 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | PEGGY STEIN (OT/OWNER) |
| Authorized Official Telephone | 5412865445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447685052 | Active Wellness LLC | Chiropractor | 338 E Ohio, Chicago, IL 60611 | 2013-09-13 |
| 1891120408 | Active Wellness LLC | Chiropractor | 560 W Diversey Pkwy, Chicago, IL 60614 | 2013-09-13 |
| 1114544970 | Active Wellness LLC | 600 California St Fl 11, San Francisco, CA 94108-2727 | 2020-06-28 | |
| 1427483791 | Active Wellness LLC | Chiropractor | 3514 N Southport Ave, Chicago, IL 60657-1436 | 2013-09-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ACTIVE WELLNESS LLC | 120 Sw 4th St Ste 170, Corvallis, OR 97333 |
| Colorado Business Entities | Active Wellness LLC | 7683 S Gartner Road, Evergreen, CO 80439 |
| Street Address |
120 SW 4TH ST STE 170 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416981 | Daniel Garrison | Occupational Therapist | 2715 Nw Coolidge Way, Corvallis, OR 97330-4343 | 2014-07-22 |
| 1336420124 | Christyna Kiesel | Occupational Therapist | 996 Nw Circle Blvd Ste 101, Corvallis, OR 97330-1485 | 2011-09-07 |
| 1124238795 | Alan Todd King | Occupational Therapist | 815 Nw 9th St Ste 180, Corvallis, OR 97330-6173 | 2007-05-23 |
| 1689887630 | Joan Louise Clapper | Occupational Therapist | 612 Sw 2nd St, Corvallis, OR 97333-4442 | 2007-05-07 |
| 1568508216 | Cynthia Renee Davis | Occupational Therapist | 815 Nw 9th Street Suite180, Corvallis, OR 97330-6173 | 2007-01-29 |
| 1669549036 | Leslie Y Dobkins | Occupational Therapist | 4515 Sw Country Club Dr, Corvallis, OR 97333 | 2006-11-29 |
| 1225126568 | Peggy Stein | Occupational Therapist | 120 Sw 4th St, Ste 170, Corvallis, OR 97333-4896 | 2006-10-11 |
| 1720038490 | Pamela J Hough | Occupational Therapist | 2350 Nw Century Drive, Suite 100, Corvallis, OR 97330 | 2006-05-11 |
| 1780651018 | Pamela Hood Szivek | Occupational Therapist | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2006-03-06 |
| 1114539616 | Rachel Wortman | Occupational Therapist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2020-08-18 |
| Find all providers in CORVALLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.