Crestview Physical and Aquatic Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CRESTVIEW PHYSICAL AND AQUATIC THERAPY LLC

Practice address

577 Brookmeade Dr
Crestview, FL 32539-6029

Phone

(850) 682-7466

Fax

(850) 682-6591

NPI assigned

Mar 25, 2025

Organization subpart

No

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

Authorized official

Name

Darlene Robbins

Title

Office Manager

Phone

(850) 682-7466

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Kelly Duncan, L.P.T.

  • Physical Therapist
  • Crestview, FL
  • NPI 1740549674
  Medicare reassignment Care Compare group NPD
• Thomas A Miller, P.T.

  • Physical Therapist
  • Crestview, FL
  • NPI 1811189228
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1093517716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396029",
            "telephone_number": "850-682-7466",
            "fax_number": "850-682-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396029",
            "telephone_number": "850-682-7466",
            "fax_number": "850-682-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW PHYSICAL AND AQUATIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-682-7466"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestview Neurology
• Crestview Open MRI Inc
• Crestview Open MRI Inc
• Crestview Pediatrics and Adolescent Center PA
• Crestview Pharmacy, LLC
• Crestview Physical Therapy Inc
• Crestview Rehabilitation Center, LLC
• Crestview Smiles, PA
• Crestview Surgery Center LP
• Crestview Urgent Care, Inc.

• Physical Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.