Active Wellness LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ACTIVE WELLNESS LLC

Practice address

120 SW 4TH St Ste 170
Corvallis, OR 97333-4896

Phone

(541) 286-5445

Fax

(800) 527-4735

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 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

Peggy SteinNPI 1225126568

Title

OT/Owner

Phone

(541) 286-5445

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, and the practitioner matching its NPPES authorized official.

• Peggy Stein, OTD OTR/L CHT

  • Occupational Therapist
  • Corvallis, OR
  • NPI 1225126568
  Authorized official Same address or phone

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1972151595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NW EVERGREEN ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301109",
            "telephone_number": "541-829-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SW 4TH ST STE 170",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334896",
            "telephone_number": "541-286-5445",
            "fax_number": "800-527-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OT/OWNER",
        "authorized_official_telephone_number": "541-286-5445"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Mary Ackridge
• Acme Counseling, LLC
• Acorn Dentistry for Kids - Corvallis, LLC (Acorn Dentistry For Kids - Corvallis)
• Nicole Linn Acosta, RN
• Act Beyond Pain, LLC
• Acupuncture Ecology LLC
• Daniel Joseph Adams
• Kathleen L. Adams, PT, CHT
• Martha F Adams, R.N.
• Tifen Adams

• Occupational Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.