Wave Academy Dba Healing Wave Aquatics

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WAVE ACADEMY DBA HEALING WAVE AQUATICS

Doing business as

Healing Wave Aquatics

Practice address

2657 Ariane Dr
San Diego, CA 92117-3422

Phone

(619) 453-0953

NPI assigned

Aug 13, 2024

Last updated

Dec 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Berg

Title

Executive Director

Phone

(619) 453-0953

Specialties & licenses 3

Addresses

Other names 1

• Healing Wave Aquatics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georganne Daniel, PT

  • Physical Therapist
  • Nashville, TN
  • NPI 1982640900
  NPD (past)

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1437980026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 ARIANE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173422",
            "telephone_number": "619-453-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 ARIANE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173422",
            "telephone_number": "619-453-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE ACADEMY DBA HEALING WAVE AQUATICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-453-0953"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Wave Aquatics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Joseph Watts, M.D.
• Ariel Marie Wauchope
• Brandon Waugh, LCSW
• Matthew John Wauson, MD
• Ryan Freeman Wauson, ACSW
• Wave Medical Supply LLC
• Jessica Wavra
• Justyna Wawrzonek, LCSW
• Vivika Starks Wax, NP
• Wayfinder Behavior Solutions, LLC

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.