Offshift Inc

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

OFFSHIFT INC

Practice address

513 Parkland Place Dr
O Fallon, MO 63366-7557

Phone

(618) 979-4074

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By 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

Dr. Mark Manera, DPT

Title

Founder & President

Phone

(618) 979-4074

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1417789116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PARKLAND PLACE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667557",
            "telephone_number": "618-979-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARKLAND PLACE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667557",
            "telephone_number": "618-979-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFSHIFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MANERA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FOUNDER & PRESIDENT",
        "authorized_official_telephone_number": "618-979-4074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Health & Wellness Coach in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.