Living Water Wellness and Therapy LLC
NPI 1265776017 · Physical Therapy Clinic/Center · Portage, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Living Water Wellness and Therapy LLC is a Physical Therapy Clinic/Center organization in Portage, IN (NPI 1265776017).
Provider details
- NPI number
- 1265776017
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Kirkland, Owner(248) 210-8805
Specialties & taxonomies
Ambulatory Health Care Facilities
- Orthopedic Physical Therapist2251X0800X
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
13 yrs in NPPES 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
- 2012-11-17
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Living Water Wellness and Therapy LLC's NPI number?
- Living Water Wellness and Therapy LLC's National Provider Identifier (NPI) is 1265776017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Water Wellness and Therapy LLC?
- Living Water Wellness and Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Living Water Wellness and Therapy LLC located?
- Living Water Wellness and Therapy LLC's practice location on file with NPPES is 6643 Lagoon Way, Portage, IN 46368-4277.
- What is Living Water Wellness and Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Living Water Wellness and Therapy LLC is (248) 210-8805.
- Does Living Water Wellness and Therapy LLC accept Medicare?
- Living Water Wellness and Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Living Water Wellness and Therapy LLC?
- The authorized official listed on Living Water Wellness and Therapy LLC's NPPES record is Charles Kirkland, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Water Wellness and Therapy LLC's NPI active?
- Yes — Living Water Wellness and Therapy LLC's NPI (1265776017) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.