Active NPI
Ocean One Enterprises
- Physical Therapist
- Ormond Beach, FL
National Provider Identifier
1487721585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- OCEAN ONE ENTERPRISES
- Practice address
- 495 S Nova Rd Ste 113
Ormond Beach, FL 32174-8470 - Phone
- (386) 677-4300
- Fax
- (386) 615-9216
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David E Carn, RPT
- Title
- Owner / Clinical Director
- Phone
- (386) 677-4300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Geriatric Physical Therapist | 2251G0304X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1299450001 | FL |
Addresses
Primary practice location
495 S Nova Rd Ste 113
Ormond Beach, FL 32174-8470
Mailing address
495 S Nova Rd Ste 113
Ormond Beach, FL 32174-8470
Phone (386) 677-4300
Other names 1
- VARSITY REHABILITATION
National Provider Directory
National Provider DirectoryLocations
1 S Old Kings Rd
#A
Ormond Beach, FL 32174
Phone (386) 677-4300
495 S Nova Rd
Ste 113
Ormond Beach, FL 32174
Phone (386) 677-4300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1487721585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 S NOVA RD STE 113",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748470",
"telephone_number": "386-677-4300",
"fax_number": "386-615-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 S NOVA RD STE 113",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748470",
"telephone_number": "386-677-4300",
"fax_number": "386-615-9216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN ONE ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2023-09-06",
"certification_date": "2021-02-03",
"status": "A",
"authorized_official_last_name": "CARN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER / CLINICAL DIRECTOR",
"authorized_official_telephone_number": "386-677-4300",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1299450001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VARSITY REHABILITATION",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VARSITY REHABILITATION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.