Victress Health and Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VICTRESS HEALTH AND WELLNESS LLC

Practice address

804 W Russell Rd
Sidney, OH 45365-9063

Phone

(937) 557-5657

Fax

(513) 230-2024

NPI assigned

Mar 9, 2020

Last updated

Jul 21, 2026By 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

Lisa Marino, PT, DPTNPI 1558879353

Title

Owner

Phone

(937) 232-5237

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Victress Health and Wellness LLC

  • Primary Care Clinic/Center
  • Wapakoneta, OH
  • NPI 1447166855
  NPPES parent name
• Victress Health and Wellness LLC

  • Primary Care Clinic/Center
  • Lima, OH
  • NPI 1811818222
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Ann Marino, PT, DPT

  • Physical Therapist
  • Sidney, OH
  • NPI 1558879353
  Authorized official Same address or phone
• Hannah Lucille Meyerhoffer

  • Physician Assistant
  • Lima, OH
  • NPI 1124614045
  NPD
• Aliya Mitchell, PA-C

  • Physician Assistant
  • Sidney, OH
  • NPI 1417821711
  NPD
• Laura Prenger, COTA/L

  • Occupational Therapy Assistant
  • Coldwater, OH
  • NPI 1568350759
  NPD

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1851926026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W RUSSELL RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659063",
            "telephone_number": "937-557-5657",
            "fax_number": "513-230-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W RUSSELL RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659063",
            "telephone_number": "937-557-5657",
            "fax_number": "513-230-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 E 4th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458044172",
            "country_code": "US",
            "telephone_number": "937-557-5657",
            "fax_number": "513-230-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTRESS HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-232-5237",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Sidney, OH
• Providers in Sidney, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.