Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Water Wellness and Therapy LLC

Organization Orthopedic Physical Therapist · NPI 1265776017

Living Water Wellness and Therapy LLC is an Orthopedic Physical Therapist in Portage, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6643 Lagoon Way Apt 4
Portage, IN 46368-4277
Phone: (248) 210-8805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 05010477A (IN)
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1265776017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Kirkland — Owner · (248) 210-8805
NPI enumeratedNovember 17, 2012
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address7895 Broadway Ste D, Merrillville, IN 46410-5529

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