NPIMap

Organization Active NPI

Water Works Aquatic Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1962412932
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
HCC4645 Issued in FL
Legal business name
WATER WORKS AQUATIC PHYSICAL THERAPY INC
Practice address
999 Trail Terrace Dr
Suite a
Naples, FL 34103-2329
Phone
(239) 649-2222
Fax
(239) 649-0522
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Mrs. Renee HalfhillNPI 1689896854
Title
Owner/Ceo
Phone
(330) 702-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X HCC4645 FL Primary

Addresses

Primary practice location

999 Trail Terrace Dr
Suite a
Naples, FL 34103-2329

Mailing address

510 W Main St Ste B
Canfield, OH 44406-1454
Phone (330) 702-0110

Other identifiers 1

IdentifierTypeStateIssuer
RJ5OtherFLBC/BS

Other names 1

  • Water Woks Total Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050910000002 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4486686441 Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

9401 Fountain Medical Ct
Ste D101
Bonita Springs, FL 34135
Phone (239) 398-5631

28191 Matteotti Vw
Bonita Springs, FL 34135
Phone (239) 206-8535

999 Trail Terrace Dr
Naples, FL 34103
Phone (239) 649-2222

999 Trail Terrace Dr
Ste A
Naples, FL 34103
Phone (239) 649-2222

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1962412932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W MAIN ST STE B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061454",
            "telephone_number": "330-702-0110",
            "fax_number": "330-702-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 TRAIL TERRACE DR",
            "address_2": "SUITE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032329",
            "telephone_number": "239-649-2222",
            "fax_number": "239-649-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER WORKS AQUATIC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "HALFHILL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "330-702-0110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "HCC4645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "RJ5",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water Woks Total Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.