CANYON PHYSICAL THERAPY AND AQUATIC REHABILITATION, P.L.L.C.
NPI 1831149913
Clinic/Center - Physical Therapy in Prescott Valley, AZ
About Canyon Physical Therapy And Aquatic Rehabilitation, P.l.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANYON PHYSICAL THERAPY AND AQUATIC REHABILITATION, P.L.L.C. (NPI 1831149913) is a healthcare organization registered as a physical therapy in Prescott Valley, Arizona and active in the NPI registry since May 2006. The organization lists Kelly Gerrit Vredeveld, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Canyon Physical Therapy And Aquatic Rehabilitation, P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C.'s NPI number?
The NPI number for Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. is 1831149913. It was assigned to this organization in the NPPES registry on May 11, 2006.
Where is Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. located?
Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. is located at 2852 N Navajo Dr Suite A, Prescott Valley, AZ 86314. The listed phone number is (928) 772-9797.
What is Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. enrolled in Medicare?
Yes. Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C.. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. accept?
Health plans from Imperial Insurance Companies, Inc. list Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Canyon Physical Therapy And Aquatic Rehabilitation, P.L.L.C. was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Canyon Physical Therapy And Aquatic Rehabilitation, P.l.l.c. · NPI 1831149913
Physical Therapy organization in Prescott Valley, Arizona. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1831149913 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Kelly Vredeveld, MANAGER
## Practice location
- **Address:** 2852 N NAVAJO DR, SUITE A, Prescott Valley, AZ 86314-4963
- **Phone:** (928) 772-9797 · **Fax:** (928) 772-9340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831149913) · Data from the CMS NPPES public registry.