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ACTIVE WELLNESS CENTER LLC
NPI 1205779089
Massage Therapist in Bend, OR

Active since April 14, 2026
593 NW YORK DR, BEND, OR 97703(541) 948-0993 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE WELLNESS CENTER LLC (NPI 1205779089) is a healthcare organization registered as a massage therapist in Bend, Oregon and active in the NPI registry since April 2026. The organization lists Mark David Dejohn, Owner, as its authorized official.

NPPES Registry Identity

NPI1205779089
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameACTIVE WELLNESS CENTER LLC
Location Address593 NW YORK DRBend, OR 97703-7264
Mailing Address20714 Snow Peaks DrBend, OR 97701-8027 · (541) 948-0993
Phone(541) 948-0993
Organization SubpartNo
Authorized OfficialMark David DejohnOwner · (541) 948-0993
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1205779089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
593 NW YORK DR, Bend, OR 97703
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY ANNE JOHNSON MS, CCC-SLP
Speech-Language Pathologist
593 NW YORK DR
BEND, OR 97703
Deschutes County (971) 346-0355
MR. MARK DAVID DEJOHN L.M.T., A.R.T.
Massage Therapist
593 NW YORK DR
BEND, OR 97703
Deschutes County (541) 948-0993
MR. SEAN STRADLEY LPC CADC III
Counselor (Professional)
593 NW YORK DR
BEND, OR 97703
Deschutes County (541) 728-3325
NICOLE GRICIUS LPC
Counselor (Mental Health)
593 NW YORK DR
BEND, OR 97703
Deschutes County (541) 224-8492
MRS. DAYNA LAROUE ENGLISH M.S. CCC-SLP
Speech-Language Pathologist
593 NW YORK DR
BEND, OR 97703
Deschutes County (541) 640-5030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Wellness Center LLC's NPI number?

The NPI number for Active Wellness Center LLC is 1205779089. It was assigned to this organization in the NPPES registry on April 14, 2026.

Where is Active Wellness Center LLC located?

Active Wellness Center LLC is located at 593 NW York Dr, Bend, OR 97703. The listed phone number is (541) 948-0993.

What is Active Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Active Wellness Center LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.