Dynamic Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3227 Issued in OH

Legal business name

DYNAMIC PHYSICAL THERAPY INC

Practice address

4760 Fishburg Rd
Suite C
Dayton, OH 45424-5460

Phone

(937) 237-0400

Fax

(937) 885-7365

NPI assigned

Jan 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Pankaj S Raje, P.T.

Title

President

Phone

(937) 237-0400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003969908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 FISHBURG RD",
            "address_2": "SUITE C",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245460",
            "telephone_number": "937-237-0400",
            "fax_number": "937-885-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 FISHBURG RD",
            "address_2": "SUITE C",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245460",
            "telephone_number": "937-237-0400",
            "fax_number": "937-885-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAJE",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-237-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "3227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lyn Dyer, MD
• Katherine Dyer
• Megan Lynn Dyer, PHARMD
• Sania Dyer
• Lana Dykes
• Christine Dyson, RN
• DZ Fastlane LLC
• Dariya Mukhamadovna Dzhavriyeva
• Samuel Kwami Dzodzomenyo, MD
• E G Sybrandy-Nicely, DPM

• Physical Therapy Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.