Aqua Dynamics Physical Therapy LLC
Organization Active NPI Physical Therapy Clinic/Center · Fort Collins, CO
NPI 1508569294 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1508569294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- AQUA DYNAMICS PHYSICAL THERAPY LLC
- Practice address
- 1015 W Horsetooth Rd Unit 103
Fort Collins, CO 80526-5980 - Phone
- (626) 429-0411
- NPI assigned
- Mar 23, 2023
- Organization subpart
- No
Authorized official
- Name
- Rachel Kristine Rantanen, DPT
- Title
- PT/Owner
- Phone
- (970) 449-0832
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 3
-
Molly Lincoln, PT,DPT
-
Jenae Pope, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230517001074 | CO | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4385000363 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Collins, CO |
National Provider Directory
- Tax ID family
- Aqua Dynamics Physical Therapy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
1015 W Horsetooth Rd Unit 103
Fort Collins, CO 80526-5980
Mailing address
1832 Golden Willow CT
Fort Collins, CO 80528-6391
Phone (626) 429-0411
NPI Registry JSON
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1508569294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 GOLDEN WILLOW CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805286391",
"telephone_number": "626-429-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W HORSETOOTH RD UNIT 103",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805265980",
"telephone_number": "626-429-0411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AQUA DYNAMICS PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-23",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "RANTANEN",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "KRISTINE",
"authorized_official_title_or_position": "PT/OWNER",
"authorized_official_telephone_number": "970-449-0832",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
- Apex ASC Fort Collins, LLC
- Michael J. Apostle
- Joshua Yale Apple
- Kaitlynn Apple
- Apricity Counseling and Wellness, LLC
- Aqua Dynamics Physical Therapy LLC
- Aquamind Psychiatry PLLC
- Rosemarie Aquino
- Aspen Nicole Aragon
- Callie Aragon
All providers in Fort Collins, CO · Physical Therapy Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.