Aquatherapy of Durango, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3590 Issued in CO

Legal business name

AQUATHERAPY OF DURANGO, INC.

Practice address

67 Lupine Cir
Durango, CO 81301-8461

Phone

(970) 247-2683

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Donna Dale Quigley, PT

Title

Owner

Phone

(970) 247-2683

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1083974562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LUPINE CIR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018461",
            "telephone_number": "970-247-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LUPINE CIR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018461",
            "telephone_number": "970-247-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUATHERAPY OF DURANGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-247-2683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.