Absolute Physical & Aquattic Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28367 Issued in FL

Legal business name

ABSOLUTE PHYSICAL & AQUATTIC THERAPY LLC

Practice address

625 W Baldwin Rd Ste C
Panama City, FL 32405-3359

Phone

(850) 628-3393

Fax

(850) 415-1967

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Ruben Alonzo Laurel

Title

Manager

Phone

(850) 596-0218

Specialties & licenses 1

Addresses

Tax ID family

Absolute Physical Aquatic Therapy LLC2 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.

• Absolute Physical & Aquatic Therapy, LLC

  • Physical Therapist
  • Chipley, FL
  • NPI 1235470782
  NPD tax ID

Practitioners 1

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

• Lorrie Ann Laurel, P.T.

  • Physical Therapist
  • Chipley, FL
  • NPI 1760444657
  NPD

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1376944553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MAIN ST",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285992",
            "telephone_number": "850-638-3387",
            "fax_number": "850-415-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-628-3393",
            "fax_number": "850-415-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE PHYSICAL & AQUATTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "LAUREL",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-596-0218"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Taha Aboulela, M.D.
• Reem Aboulela
• Abrahim Imam D.O.
• Charlie Abrenica, PT
• Absolute Dental Care
• Hadeel Abumunshar, DMD
• Access Point Health Group, LLC
• Access Point Health Group, LLC
• Access Point Healthcare Urgent Care LLC
• Access Recovery Solutions, LLC

• Physical Therapist in Panama City, FL
• Providers in Panama City, 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 8, 2014; 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.