Wellness Essentials Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WELLNESS ESSENTIALS CENTER LLC

Practice address

4678 Mitchell Loop Rd
Florence, OR 97439-8464

Phone

(541) 991-7151

NPI assigned

Aug 14, 2021

Organization subpart

No

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

Authorized official

Name

Marijo Guzman Vollmar, PT

Title

Manager

Phone

(541) 991-7151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1750056313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HIGHWAY 101 # 272",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397634",
            "telephone_number": "541-991-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 MITCHELL LOOP RD",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974398464",
            "telephone_number": "541-991-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ESSENTIALS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "VOLLMAR",
        "authorized_official_first_name": "MARIJO",
        "authorized_official_middle_name": "GUZMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-991-7151",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Veerman, M.D.
• Marijo Guzman Vollmar
• Sequoia Shelly Warner, L.M.T.
• Bruce M. Watanabe, M.D.
• Dwain M Watkins, CRNA
• Wellspring Clinic
• Western Lane Ambulance District
• Western Lane Fire and EMS Authority
• Jo Ann Whitney, RPH
• Howard Williams, RPH

• Physical Therapy Clinic/Center in Florence, OR
• Providers in Florence, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.