NPIMap

Organization Active NPI

Triton Aquatic and Land Therapies, LLC

  • Physical Therapist
  • Stafford, TX
National Provider Identifier
1518339076
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRITON AQUATIC AND LAND THERAPIES, LLC
Practice address
12603 Southwest Fwy
Suite 100
Stafford, TX 77477-3820
Phone
(281) 495-8258
NPI assigned
Oct 23, 2015
Last updated
Oct 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Jerry Jones
Title
Ceo
Phone
(281) 495-8258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

12603 Southwest Fwy
Suite 100
Stafford, TX 77477-3820

Mailing address

12603 Southwest Fwy
Suite 100
Stafford, TX 77477-3820
Phone (281) 495-8258

National Provider Directory

National Provider Directory
Tax ID family
Triton Aquatic and Land Therapies LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1518339076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773820",
            "telephone_number": "281-495-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773820",
            "telephone_number": "281-495-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITON AQUATIC AND LAND THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-495-8258"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.