USA Aquatic Fitness, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

USA AQUATIC FITNESS, INC.

Practice address

209 E Baseline Rd
Suite E101
Tempe, AZ 85283-1269

Phone

(480) 892-0479

Fax

(480) 507-3318

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Tom Ellsworth

Title

President

Phone

(480) 892-0479

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Next Level Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649485723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852990644",
            "telephone_number": "480-892-0479",
            "fax_number": "480-507-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E BASELINE RD",
            "address_2": "SUITE E101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831269",
            "telephone_number": "480-892-0479",
            "fax_number": "480-507-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA AQUATIC FITNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-892-0479"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "AZ0299220",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Level Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upward Path, LLC
• Ur Doc, LLC
• Urban Wellness and Botanicals, LLC
• Melinda Uriarte
• Jennifer Urich, OT
• Usmile PLLC
• Samuel Jacob Vadasz-Chates, LMSW
• Sheyda Vadipour, NMD
• Michele Vail, M.A., BCBA
• Cesar Vairo

• Physical Therapy Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.