Wellbody Therapeutics, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

979838 Issued in OR

Legal business name

WELLBODY THERAPEUTICS, LLC

Practice address

2195 NE Professional CT
Suite # 6
Bend, OR 97701-6028

Phone

(541) 390-4361

Fax

(541) 322-9398

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Amy L Lafferty, MS, OTR/L

Title

Owner, Provider

Phone

(541) 390-4361

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eveline Theresia Briedwell, LCSW

  • Counselor
  • Bend, OR
  • NPI 1487057147
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1821225103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 NE PROFESSIONAL CT",
            "address_2": "SUITE # 6",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016028",
            "telephone_number": "541-390-4361",
            "fax_number": "541-322-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 NE PROFESSIONAL CT",
            "address_2": "SUITE # 6",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016028",
            "telephone_number": "541-390-4361",
            "fax_number": "541-322-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBODY THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "LAFFERTY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "541-390-4361",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OR",
            "license": "979838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandon P Welch, PT
• Tianna L Welch, PA-C
• Ashley Kalea Welker
• Brad Devin Welker, D.C.
• Heather Kristine Welker, O.T.
• Anita Rose Weller, MFT
• Wellness Doctor, Inc.
• Wellness Through Horses LLC
• Molly Sue Wells Darling, LCSW
• Amanda Raye Wells

• Multi-Specialty Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Multi-Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.