Organization Active NPI

Aqua Park Physical Therapy, Inc.

  • Physical Therapist
  • Daytona Beach, FL
National Provider Identifier
1992930218
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22801 Issued in FL
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

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Mrs. Robyn Lynne Murray, DPTNPI 1689703506
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.