Organization Active NPI

J-Well Pilates Rehab Studio

  • Point of Service
  • Jacksonville, OR
National Provider Identifier
1265826820
Registry record updated Mar 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
6285 Issued in OR
Legal business name
J-WELL PILATES REHAB STUDIO
Practice address
310 E California St Unit B
Jacksonville, OR 97530-9414
Phone
(541) 203-0709
NPI assigned
Mar 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2015

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

Authorized official

Name
Cassie Lewallen
Title
Owner
Phone
(307) 751-1174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6285 OR Primary

Addresses

Primary practice location

310 E California St Unit B
Jacksonville, OR 97530-9414

Mailing address

400 Tetherow Rd
Williams, OR 97544-9543

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426982400000",
    "number": "1265826820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TETHEROW RD",
            "city": "WILLIAMS",
            "state": "OR",
            "postal_code": "975449543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E CALIFORNIA ST UNIT B",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309414",
            "telephone_number": "541-203-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-WELL PILATES REHAB STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A",
        "authorized_official_last_name": "LEWALLEN",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-751-1174"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OR",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; 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.