Aquatic Therapy Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT4166 Issued in MS

Legal business name

AQUATIC THERAPY SERVICES, LLC

Practice address

10 Carrie Mitchell Rd
Carriere, MS 39426

Phone

(985) 774-1155

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dana N Rosser, PT

Title

Manager

Phone

(985) 774-1155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427115641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "BUSH",
            "state": "LA",
            "postal_code": "704310153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CARRIE MITCHELL RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "39426",
            "telephone_number": "985-774-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUATIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-774-1155",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT4166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Abdali Haidar MD PA
• Align Health LLC
• Tosha Bannister
• Belle Ame PCS
• Belle Ame2
• Clifford R Benson, DC
• Leon Benson Jr.

• Physical Therapy Clinic/Center in Carriere, MS
• Providers in Carriere, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.