Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.
NPI 1831149913 · Physical Therapy Clinic/Center · Prescott Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. is a Physical Therapy Clinic/Center organization in Prescott Valley, AZ (NPI 1831149913).
Provider details
- NPI number
- 1831149913
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Vredeveld, Manager(928) 772-9797
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.'s NPI number?
- Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.'s National Provider Identifier (NPI) is 1831149913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.?
- Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. located?
- Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.'s practice location on file with NPPES is 2852 N Navajo Dr, Prescott Valley, AZ 86314-4963.
- What is Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. is (928) 772-9797.
- Does Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. accept Medicare?
- Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.?
- The authorized official listed on Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.'s NPPES record is Kelly Vredeveld, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.'s NPI active?
- Yes — Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.'s NPI (1831149913) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.