Active Wellness Center LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ACTIVE WELLNESS CENTER LLC

Practice address

593 NW York Dr
Bend, OR 97703-7264

Phone

(541) 948-0993

NPI assigned

Apr 14, 2026

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark David Dejohn, LMTNPI 1154644599

Title

Owner

Phone

(541) 948-0993

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark David Dejohn, L.M.T., A.R.T.

  • Massage Therapist
  • Bend, OR
  • NPI 1154644599
  NPD Authorized official

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1205779089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20714 SNOW PEAKS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018027",
            "telephone_number": "541-948-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 NW YORK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037264",
            "telephone_number": "541-948-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "DEJOHN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-948-0993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accident Care Chiropractic and Massage of Bend (Accident Care Chiropractic)
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• Active Life Therapeutic Massage
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• Hugh R Adair III, D.O.
• Tessa Pearl Adair
• Adam Derr, P.C.
• Kylee Madison Adamek

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.