Dynamic Bracing, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DYNAMIC BRACING, INC

Doing business as

Dynamic Bracing & Physical Therapy, Inc

Practice address

405 E. Pacific Ave
Spokane, WA 99202-1347

Phone

(509) 325-9144

Fax

(509) 325-0422

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Douglas P Baker

Title

Vice President

Phone

(509) 325-9144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dynamic Bracing & Physical Therapy, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Michelle Baker, P.T., ATC, COF

  • Physical Therapist
  • Spokane, WA
  • NPI 1104885664
  Medicare reassignment Care Compare group NPD
• Kerry Kathleen Suarez, PT

  • Physical Therapist
  • Hermiston, OR
  • NPI 1336194158

  WA

  Medicare reassignment Care Compare group NPD
• Korey Zbaraschuk I, P.T.

  • Physical Therapist
  • Meridian, ID
  • NPI 1215137476

  WA

  Medicare reassignment Care Compare group NPD
• Jesse Dunn, PT

  • Physical Therapist
  • Spokane, WA
  • NPI 1841705902
  Medicare reassignment NPD
• Meghan Faulkenberry

  • Physical Therapist
  • Spokane, WA
  • NPI 1265955140
  Medicare reassignment NPD
• Brad L. McInnis, P.T.

  • Physical Therapist
  • Spokane, WA
  • NPI 1952467748
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1023008505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E. PACIFIC AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-325-9144",
            "fax_number": "509-325-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E. PACIFIC AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021347",
            "telephone_number": "509-325-9144",
            "fax_number": "509-325-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC BRACING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "509-325-9144"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9048059",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Bracing & Physical Therapy, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Bracing & Physical Therapy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna K Dyar, MSW
• Krista Dye, MOTR/L
• Renae Michelle Dyer
• Paula A Dygert, MD
• Dynamed Inc
• Jennifer A. Dyreson, PT, MPT
• E.a. Sohn Inc., P.S. (Indian Trail Geriatric Medicine)
• E&M Inc., P.S.
• Eagle Behavioral Health LLC (Ebh)
• Robert Raymond Eagle

• Durable Medical Equipment & Medical Supplies in Spokane, WA
• Providers in Spokane, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.