Condition for Life

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2714 Issued in OR

Legal business name

CONDITION FOR LIFE

Practice address

335 S Spring St
Klamath Falls, OR 97601-5947

Phone

(541) 887-2223

Fax

(541) 887-2228

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Wayne R Nelson, D.C.NPI 1265577217

Title

Sole Provider

Phone

(541) 887-2223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Wayne R Nelson, DC, ACRB-L2

  • Rehabilitation Chiropractor
  • Klamath Falls, OR
  • NPI 1265577217
  Medicare reassignment NPD Authorized official
• Vincent Johnson

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1861833097
  NPD

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1366706053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S SPRING ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015947",
            "telephone_number": "541-887-2223",
            "fax_number": "541-887-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S SPRING ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015947",
            "telephone_number": "541-887-2223",
            "fax_number": "541-887-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDITION FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "541-887-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi Lynne Collman, PSS,CRM
• Kylie Ryann Collom, PHARMD
• Community Birth Group
• Kimberly Marie Conant, LMT
• Patricia Conchas
• Connect Restore Thrive Counseling Group
• Lacey Conner, RN
• Michael Connolly
• Ryan Matthew Conrady
• Conscious Connections Youth Counseling LLC

• Chiropractor in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.