MEDICARE: DR. ARIELLE WATERS PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	055416	NY

General Provider Information

NPI Number	:	1922960533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIELLE WATERS PT, DPT

Provider Business Mailing Address
First Line	:	7934 WILDFLOWER SHORES DR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-2263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7934 WILDFLOWER SHORES DR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-2263
Country	:	US
Telephone Number	:	516-408-0357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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