Aquatic Rehab and Consulting

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14945 Issued in CA

Legal business name

AQUATIC REHAB AND CONSULTING

Practice address

18 Sunnydale LN
Rancho Santa Margarita, CA 92688-5569

Phone

(949) 216-9300

Fax

(949) 216-9301

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Thorson, P.T.NPI 1942494422

Title

Owner/Physical Therapist

Phone

(949) 216-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Louise Thorson, P.T.

  • Physical Therapist
  • Rancho Santa Margarita, CA
  • NPI 1942494422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619908514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SUNNYDALE LN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885569",
            "telephone_number": "949-216-9300",
            "fax_number": "949-216-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SUNNYDALE LN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885569",
            "telephone_number": "949-216-9300",
            "fax_number": "949-216-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUATIC REHAB AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "949-216-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Physical Therapist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.