LIVING WATER WELLNESS AND THERAPY LLC
NPI 1265776017
Clinic/Center - Physical Therapy in Portage, IN

Active since November 17, 2012
6643 LAGOON WAY, APARTMENT 4, PORTAGE, IN 46368(248) 210-8805 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Living Water Wellness And Therapy Llc NPPES

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

LIVING WATER WELLNESS AND THERAPY LLC (NPI 1265776017) is a healthcare organization registered as a physical therapy in Portage, Indiana and active in the NPI registry since November 2012. The organization lists Charles Arian Kirkland, Owner, as its authorized official.

NPPES Registry Identity

NPI1265776017
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLIVING WATER WELLNESS AND THERAPY LLC
Location Address6643 LAGOON WAY, APARTMENT 4Portage, IN 46368-4277
Mailing Address7895 Broadway Ste DMerrillville, IN 46410-5529 · (213) 200-2163
Organization SubpartNo
Authorized OfficialCharles Arian KirklandOwner · (248) 210-8805
Enumeration DateNovember 17, 2012
Last NPPES UpdateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
NPI 1265776017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in IN · 05010477A
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
6643 LAGOON WAY, Portage, IN 46368

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

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 Living Water Wellness And Therapy LLC's NPI number?

The NPI number for Living Water Wellness And Therapy LLC is 1265776017. It was assigned to this organization in the NPPES registry on November 17, 2012.

Where is Living Water Wellness And Therapy LLC located?

Living Water Wellness And Therapy LLC is located at 6643 Lagoon Way Apartment 4, Portage, IN 46368. The listed phone number is (248) 210-8805.

What is Living Water Wellness And Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Living Water Wellness And Therapy LLC was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.