Active Wellness Center LLC
NPI 1205779089 · Massage Therapist · Bend, OR
Active Wellness Center LLC is a Massage Therapist organization in Bend, OR (NPI 1205779089).
Provider details
- NPI number
- 1205779089
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mark Dejohn, Owner(541) 948-0993
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-14
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Active Wellness Center LLC's NPI number?
- Active Wellness Center LLC's National Provider Identifier (NPI) is 1205779089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Wellness Center LLC?
- Active Wellness Center LLC is classified in the NPPES registry as Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Active Wellness Center LLC located?
- Active Wellness Center LLC's practice location on file with NPPES is 593 Nw York Dr, Bend, OR 97703-7264.
- What is Active Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Wellness Center LLC is (541) 948-0993.
- Who is the authorized official for Active Wellness Center LLC?
- The authorized official listed on Active Wellness Center LLC's NPPES record is Mark Dejohn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Wellness Center LLC's NPI active?
- Yes — Active Wellness Center LLC's NPI (1205779089) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.