LIVING WATER WELLNESS AND THERAPY LLC
NPI 1265776017
Clinic/Center - Physical Therapy in Portage, IN
NPI Status: Active since November 17, 2012
Contact Information
6643 LAGOON WAY
APARTMENT 4
PORTAGE, IN
ZIP 46368
Phone: (248) 210-8805
- Organization
- Clinic/Center
- Physical Therapy
About LIVING WATER WELLNESS AND THERAPY LLC
This page provides the complete NPI Profile along with additional information for Living Water Wellness And Therapy Llc, a provider established in Portage, Indiana operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1265776017 assigned on November 2012. The practitioner's primary taxonomy code is 261QP2000X with license number 05010477A (IN). The provider is registered as an organization and their NPI record was last updated February 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Charles Arian Kirkland P.t., D.p.t., D.m.t. (Owner)
- NPI
- 1265776017
- Provider Name
- LIVING WATER WELLNESS AND THERAPY LLC
- Entity Type
- Organization
- Location Address
- 6643 LAGOON WAY APARTMENT 4 PORTAGE, IN 46368
- Location Phone
- (248) 210-8805
- Mailing Address
- 7895 BROADWAY STE D MERRILLVILLE, IN 46410
- Mailing Phone
- (213) 200-2163
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-17-2012
- Last Update Date
- 02-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 05010477A
- License State
- IN
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for LIVING WATER WELLNESS AND THERAPY LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 7 | 7 | 6 | 0 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 14 | 7 | 12 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 4 + 7 + 1 + 2 + 0 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1265776017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265776017, enumerated in the NPI registry as an "organization" on November 17, 2012
The provider is located at 6643 Lagoon Way Apartment 4 Portage, In 46368 and the phone number is (248) 210-8805
This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy
This NPI record was last updated on November 17, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.