Three Birds Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THREE BIRDS WELLNESS LLC

Practice address

338 Main St
Ketchikan, AK 99901-6430

Phone

(907) 617-6452

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Jeanette Bennett, DPT

Title

Physical Therapist

Phone

(907) 617-6452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

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

• Lauren Jeanette, PT, DPT

  • Physical Therapist
  • Ketchikan, AK
  • NPI 1750755211
  Medicare reassignment NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1164016689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 JACKSON ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015736",
            "telephone_number": "907-617-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MAIN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016430",
            "telephone_number": "907-617-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE BIRDS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-617-6452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tandra Thompson
• Patricia Jane Thornton, CNM
• Cezanne Thorsen
• Jennifer K Thouvenel
• Rachel Thrasher
• Kelly Thynes-Leighton
• Noelani Braeden Tilson
• Selina Tolson
• Aaron Tomlinson
• Jillian Tonsager

• Physical Therapy Clinic/Center in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Physical Therapy Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.