Organization Active NPI

Natural Therapy Wellness Center Inc

  • Clinic/Center
  • McHenry, IL
National Provider Identifier
1699953869
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NATURAL THERAPY WELLNESS CENTER INC
Practice address
1307 Court St
McHenry, IL 60050-4422
Phone
(815) 385-8190
NPI assigned
Feb 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Authorized official

Name
Mr. Jon R Petersen, LMT
Title
President
Phone
(815) 385-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

1307 Court St
McHenry, IL 60050-4422

Mailing address

1307 Court St
McHenry, IL 60050-4422
Phone (815) 385-8190

Other names 1

  • McHenry Massage Center Doing business as

National Provider Directory

National Provider Directory

Locations

1307 Court St
McHenry, IL 60050
Phone (815) 385-8190

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202515200000",
    "number": "1699953869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 COURT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504422",
            "telephone_number": "815-385-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 COURT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504422",
            "telephone_number": "815-385-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL THERAPY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-385-8190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McHenry Massage Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; 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.