Active NPI
Aqua Park Physical Therapy, Inc.
- Physical Therapist
- Daytona Beach, FL
National Provider Identifier
1992930218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22801
- Legal business name
- AQUA PARK PHYSICAL THERAPY, INC.
- Practice address
- 159 Westwood Dr
Daytona Beach, FL 32119-1426 - Phone
- (386) 679-2914
- NPI assigned
- May 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robyn Lynne Murray, DPT
- Title
- President
- Phone
- (386) 679-2914
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22801 | FL | Primary |
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
159 Westwood Dr
Daytona Beach, FL 32119-1426
Mailing address
159 Westwood Dr
Daytona Beach, FL 32119-1426
Phone (386) 679-2914
National Provider Directory
National Provider DirectoryLocations
600 Eaton Rd
Edgewater, FL 32132
Phone (386) 426-7885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Physical Therapist
- Daytona Beach, FL
- NPI 1689703506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1992930218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 WESTWOOD DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321191426",
"telephone_number": "386-679-2914",
"fax_number": "386-423-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 WESTWOOD DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321191426",
"telephone_number": "386-679-2914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AQUA PARK PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-17",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "ROBYN",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-679-2914",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22801",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.