Aquatic Therapy of Virginia, PLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119001200 Issued in VA

Legal business name

AQUATIC THERAPY OF VIRGINIA, PLC

Practice address

525 Oyster Point Rd
Suite E
Newport News, VA 23602-6014

Phone

(757) 269-0430

Fax

(757) 269-0432

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn G Garrett, OTNPI 1255429122

Title

Owner/President

Phone

(757) 269-0430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gwendolyn G Garrett, MAOTR

  • Occupational Therapist
  • Newport News, VA
  • NPI 1255429122
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477636686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OYSTER POINT RD",
            "address_2": "SUITE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026014",
            "telephone_number": "757-269-0430",
            "fax_number": "757-269-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OYSTER POINT RD",
            "address_2": "SUITE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026014",
            "telephone_number": "757-269-0430",
            "fax_number": "757-269-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUATIC THERAPY OF VIRGINIA, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "757-269-0430",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra C Anton, MD
• Angela Antonio
• Peter Steven Apostoles, M.D.
• Madeline Appleyard, MS, CF-SLP
• Jawad Aqeel, MD
• Henry Arakaky, MD
• Arcadia Health Services, Inc
• Claudia T Arce
• Katina Archerfair
• Latreece Arenas, FNP

• Occupational Therapist in Newport News, VA
• Providers in Newport News, VA by specialty
• Occupational Therapist in Virginia

• 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.