MEDICARE: AQUA DYNAMICS PHYSICAL THERAPY LLC

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	2251X0800X	Orthopedic Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932063120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AQUA DYNAMICS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	320 W 37TH STREET
Second Line	:	SUITE #336
City	:	LOVELAND
State	:	CO
Zip	:	80538
Country	:	US
Telephone Number	:	970-449-9536
Fax Number	:	970-372-2772

Provider Business Practice Location Address
First Line	:	1015 W HORSETOOTH RD
Second Line	:	SUITE #103
City	:	FORT COLLINS
State	:	CO
Zip	:	80526
Country	:	US
Telephone Number	:	970-449-0832
Fax Number	:	970-372-2772

Authorized Official
Title or Position	:	OWNER/PT
Name	:	RACHEL KRISTINE RANTANEN
Credential	:	DPT
Telephone Number	:	970-449-0832

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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