Ocean One Enterprises

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0002188 Issued in FL

Legal business name

OCEAN ONE ENTERPRISES

Practice address

1714 State Road 44
New Smyrna Beach, FL 32168-8339

Phone

(386) 677-4300

Fax

(386) 615-9216

NPI assigned

Nov 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David E Carn, PTNPI 1194910976

Title

Owner Operator

Phone

(386) 677-4300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• VARSITY REHABILITATION Doing business as

Tax ID family

Ocean One Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ocean One Enterprises

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1578630679
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Earl Carn, PT

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1194910976
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1013084557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S NOVA RD",
            "address_2": "SUITE 112",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748470",
            "telephone_number": "386-677-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 STATE ROAD 44",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688339",
            "telephone_number": "386-677-4300",
            "fax_number": "386-615-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN ONE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "CARN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER  OPERATOR",
        "authorized_official_telephone_number": "386-677-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0002188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NO",
            "identifier": "PT0002188",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1699893",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5132624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VARSITY REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Heather Nicole O'Neill, BSW
• Ocean View Care and Rehabilitation Center LLC
• Ocean View Nursing & Rehabilitation Center LLC
• Oceanside Wellness PLLC
• Beibei Oelrich, M.D. PHD
• Jerry L. Oestmann, PH.D.

• Physical Therapist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.