Organization Active NPI

Triton Aquatic and Land Therapies, LLC

  • Physical Therapist
  • Katy, TX
National Provider Identifier
1043725880
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRITON AQUATIC AND LAND THERAPIES, LLC
Practice address
21660 Kingsland Blvd
Katy, TX 77450-2511
Phone
(281) 495-8258
NPI assigned
Dec 1, 2017
Organization subpart
Yes
Parent organization
TRITON AQUATIC AND LAND THERAPIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Aaron Blick
Title
Owner
Phone
(832) 687-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

21660 Kingsland Blvd
Katy, TX 77450-2511

Mailing address

12603 Southwest Fwy Ste 100
Stafford, TX 77477-3841

National Provider Directory

National Provider Directory
Tax ID family
Triton Aquatic and Land Therapies LLC2 organizations share this tax ID, including this one
Part of
Triton Aquatic and Land Therapies LLC

Other organizations with this tax ID 1

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

Locations

12603 Southwest Fwy
Ste 100
Stafford, TX 77477
Phone (281) 495-8258

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1043725880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 100",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502511",
            "telephone_number": "281-495-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITON AQUATIC AND LAND THERAPIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRITON AQUATIC AND LAND THERAPIES, LLC",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-687-8455"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.