Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEALTH AQUATIC WELLNESS OF CHAUTAUQUA PHYSICAL THERAPY PLLC
NPI 1144980962
Physical Therapist in Fluvanna, NY

Active since December 20, 2021
3266 FLUVANNA AVENUE EXT, FLUVANNA, NY 14701(716) 708-6179(716) 463-2228 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2026, Aug 27, 2026, May 19, 2022 and 2 more (5 updates tracked since 2021).

About Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH AQUATIC WELLNESS OF CHAUTAUQUA PHYSICAL THERAPY PLLC (NPI 1144980962) is a healthcare organization registered as a physical therapist in Fluvanna, New York and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Jamestown and lists Kimberly Ristau, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1144980962
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameHEALTH AQUATIC WELLNESS OF CHAUTAUQUA PHYSICAL THERAPY PLLC
Location Address3266 FLUVANNA AVENUE EXTFluvanna, NY 14701-9706
Mailing Address3266 Fluvanna Avenue ExtFluvanna, NY 14701-9706
Fax(716) 463-2228
Organization SubpartNo
Authorized OfficialKimberly RistauPart Owner · (814) 688-6119
Enumeration DateDecember 20, 2021
Last NPPES UpdateSeptember 2, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1144980962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3266 FLUVANNA AVENUE EXT, Fluvanna, NY 14701

Secondary Practice Location 1

Location 1715 Falconer StJamestown, NY 14701-1935 · Phone (716) 708-6179 · Fax (716) 463-2228

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health Aquatic Wellness Of Chautauqua Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1801810122
3266 FLUVANNA AVENUE EXT
Fluvanna, NY 14701
(716) 708-6179
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1760218291
3266 FLUVANNA AVENUE EXT
Fluvanna, NY 14701
(716) 708-6179
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1659632966
3266 FLUVANNA AVENUE EXT
Fluvanna, NY 14701
(716) 720-1896
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1548400732
3266 FLUVANNA AVENUE EXT
Fluvanna, NY 14701
(814) 688-6119
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1306134267
774 FAIRMOUNT AVE
Jamestown, NY 14701
(716) 665-1166
✔ Accepts Medicare1.7 mi
Physical Therapist in Private Practice
NPI 1699197814
5928 OLD FRENCH RD
Erie, PA 16509
(816) 860-7816
40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC's NPI number?

The NPI number for Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC is 1144980962. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC located?

Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC is located at 3266 Fluvanna Avenue Ext, Fluvanna, NY 14701. The listed phone number is (716) 708-6179.

What is Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC enrolled in Medicare?

Yes. Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Health Aquatic Wellness Of Chautauqua Physical Therapy PLLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.