MEDICARE: CENTER OF FUNCTIONAL WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1598164634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER OF FUNCTIONAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	881 N BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1340
Country	:	US
Telephone Number	:	937-567-7888
Fax Number	:	937-281-0666

Provider Business Practice Location Address
First Line	:	881 N BEND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1340
Country	:	US
Telephone Number	:	937-567-7888
Fax Number	:	937-281-0666

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN JOHNSON
Credential	:
Telephone Number	:	937-567-7888

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	08/14/2014

Similar Medicare Providers

1467402453 — LAURA ANN WEAVER DDS
Practice Location Address:

1340 HILL CREST RD
CINCINNATI, OH
45224-3226

Practice Phone: 513-681-8825
Practice Fax: 937-392-4339

1285822247 — DR. LYNN C METCALF DC
Practice Location Address:

881 N BEND RD
CINCINNATI, OH
45224-1340

Practice Phone: 513-242-2888
Practice Fax: 513-242-2296

1184888729 — PRIORITY HEALTH CHIROPRACTIC L.L.C.
Practice Location Address:

881 W NORTH BEND RD
CINCINNATI, OH
45224-1340

Practice Phone: 513-242-6472
Practice Fax: 513-242-2196

1922336379 — MRS. JAMILA KIANGA MADDOX
Practice Location Address:

881 W NORTH BEND RD
CINCINNATI, OH
45224-1340

Practice Phone: 513-242-2888
Practice Fax: 513-242-2296

1376960948 — URGENCY INTEGRATED CARE SOLUTIONS INC
Practice Location Address:

881 W NORTH BEND RD
CINCINNATI, OH
45224-1340

Practice Phone: 513-242-4400
Practice Fax: 513-242-0748

1457852790 — LANE WOMEN'S HEALTH, LLC
Practice Location Address:

891 W NORTH BEND RD
CINCINNATI, OH
45224-1340

Practice Phone: 513-394-0070
Practice Fax:

Directions to “CENTER OF FUNCTIONAL WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.