Sea Turtle Pediatric Therapy LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

SEA TURTLE PEDIATRIC THERAPY LLC

Practice address

1141 Wicker Way
Daytona Beach, FL 32117-4592

Phone

(754) 779-9730

NPI assigned

Aug 6, 2026

Organization subpart

No

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

Authorized official

Name

Diana C Anzola, ANZOLA

Title

Physical Therapy Assistant

Phone

(754) 779-9730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1730003484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 WICKER WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174592",
            "telephone_number": "754-779-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 WICKER WAY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174592",
            "telephone_number": "754-779-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA TURTLE PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ANZOLA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "754-779-9730",
        "authorized_official_credential": "ANZOLA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.