Living Well Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4226 Issued in OR

Legal business name

LIVING WELL THERAPY, P.C.

Practice address

1558 SW Nancy Way
Suite 104
Bend, OR 97702-3216

Phone

(541) 312-2004

Fax

(541) 312-2056

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Erik Zamboni, DPT

Title

Owner

Phone

(541) 312-2004

Specialties & licenses 1

Addresses

Other names 1

• Living Well Therapy, P.C. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tabitha Jo Dooms, LMT

  • Massage Therapist
  • Bend, OR
  • NPI 1285104646

  Single Specialty

  NPD (past)
• Thomas Neil Watson, DPT

  • Physical Therapist
  • Bend, OR
  • NPI 1225091390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114136017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 SW NANCY WAY",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023216",
            "telephone_number": "541-312-2004",
            "fax_number": "541-312-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 SW NANCY WAY",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023216",
            "telephone_number": "541-312-2004",
            "fax_number": "541-312-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAMBONI",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-312-2004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Therapy, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devonee Littleton
• Wenshan Liu, OD
• Anthony Liufau, MS, LPC
• Emily Livengood, ND
• Living Dental Health LLC
• Robert Paul Livingston, PMHNP-BC
• Liz Hinchliffe LLC
• Joni Loch, LCSW
• Siorai Lochlainn
• Alissa Locke, LMT

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.