Active Wellness Center LLC
Massage Therapist in Bend, Oregon
1205779089- Practice location
- 593 NW York Dr, Bend, OR 97703-7264
- Phone
- 541-948-0993
- Fax
- —
- Last updated
- April 14, 2026
Active Wellness Center LLC is a healthcare organization based in Bend, OR. The NPI number for Active Wellness Center LLC is 1205779089. The current practice location address is 593 NW York Dr, Bend, OR 97703-7264 and the office can be reached by phone at 541-948-0993. The NPI was assigned on April 14, 2026 and the record was last updated in NPPES on April 14, 2026.
●Provider Profile Details
- NPI Number
- 1205779089
- Provider Name
- Active Wellness Center LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Massage Therapist · 225700000X
- Organization Subpart
- No
- Authorized Official
- Mr. Mark David Dejohn, LMT · Owner · 541-948-0993
- Enumeration Date
- April 14, 2026
- Last Update Date
- April 14, 2026
- Certification Date
- April 14, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 593 NW York Dr
Bend, OR 97703-7264 - City
- Bend
- State
- Oregon
- ZIP
- 97703-7264
- Country
- US
- Phone Number
- 541-948-0993
✉Business Mailing Address
- Address
- 20714 Snow Peaks Dr
Bend, OR 97701-8027 - City
- Bend
- State
- OR
- ZIP
- 97701-8027
- Phone Number
- 541-948-0993
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Massage Therapist 193400000X - Single Specialty Group | 225700000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Active Wellness Center LLC?
The NPI number of Active Wellness Center LLC is 1205779089. It was assigned on April 14, 2026 and is currently active in the NPPES registry.
What is the specialty of Active Wellness Center LLC?
Active Wellness Center LLC is registered under the primary taxonomy Massage Therapist (code 225700000X).
Where does Active Wellness Center LLC practice?
The practice location is 593 NW York Dr, Bend, OR 97703-7264. The office can be reached at 541-948-0993 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205779089 directly on the NPPES registry website at npiregistry.cms.hhs.gov.