Wellvolution LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WELLVOLUTION LLC

Doing business as

Blend

Practice address

1097 E Main St Ste B
Grass Valley, CA 95945-5718

Phone

(530) 306-5511

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By 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

Heidi C Lien, PTNPI 1063979755

Title

PT/Owner

Phone

(530) 306-5511

Specialties & licenses 1

Addresses

Other names 1

• Blend Doing business as

Locations

Practitioners 1

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.

• Heidi Lien, PT

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1063979755
  Authorized official Same address or phone

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1891253506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 E MAIN ST STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455718",
            "telephone_number": "530-306-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 E MAIN ST STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455718",
            "telephone_number": "530-306-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "LIEN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "530-306-5511",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Weisswasser, N.D.
• Gregory Evan Weisswasser, ND
• Katherine Maia Welch
• Desarae Shenice Welchel
• Tamara Wells, BA, ECSE
• Morgan Welty
• Rachel Michelle Welz
• Brittany M Wertz
• Jane Wertz
• Jeffrey A West, RADT-1

• Physical Therapy Clinic/Center in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.