Active NPI
Living & Wellness Centers PS
- Physical Medicine & Rehabilitation Physician
- Tacoma, WA
National Provider Identifier
1780604009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 878
- Legal business name
- LIVING & WELLNESS CENTERS PS
- Practice address
- 3716 Pacific Ave
#E
Tacoma, WA 98418 - Phone
- (253) 473-2663
- Fax
- (253) 473-0545
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott L Havsy
- Title
- Owner
- Phone
- (253) 473-2663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 878 | WA | Primary |
Addresses
Primary practice location
3716 Pacific Ave
#E
Tacoma, WA 98418
Mailing address
3716 Pacific Ave
#E
Tacoma, WA 98418
Phone (253) 473-2663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106005600 | Other | OWCP | |
| 143803 | Other | WA | L & I |
National Provider Directory
National Provider DirectoryLocations
3716 Pacific Ave
Ste E
Tacoma, WA 98418
Phone (253) 473-2663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Tacoma, WA
- NPI 1831267251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780604009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 PACIFIC AVE",
"address_2": "#E",
"city": "TACOMA",
"state": "WA",
"postal_code": "98418",
"telephone_number": "253-473-2663",
"fax_number": "253-473-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3716 PACIFIC AVE",
"address_2": "#E",
"city": "TACOMA",
"state": "WA",
"postal_code": "98418",
"telephone_number": "253-473-2663",
"fax_number": "253-473-0545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING & WELLNESS CENTERS PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAVSY",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-473-2663",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "6106005600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "143803",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.