Organization Active NPI

Ocean One Enterprises

  • Physical Therapist
  • Ormond Beach, FL
National Provider Identifier
1487721585
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
David E Carn, RPTNPI 1194910976
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.