Active NPI
Triton Aquatic and Land Therapies, LLC
- Physical Therapist
- Katy, TX
National Provider Identifier
1043725880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 LLC
- 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.
-
- Physical Therapist
- Stafford, TX
- NPI 1518339076
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.
-
- Physical Therapist
- Stafford, TX
- NPI 1518339076
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.