Dynamic Aquatic & Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25997 Issued in CA

Legal business name

DYNAMIC AQUATIC & PHYSICAL THERAPY INC

Practice address

6718 Andasol Ave
Van Nuys, CA 91406-5412

Phone

(818) 830-5050

Fax

(818) 830-5353

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Omid Farvili, PT

Title

President

Phone

(818) 343-2073

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Michelle Baden Pallister, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1851534952
  NPD (past)
• Manuel Canabal, L.AC.

  • Acupuncturist
  • Panorama City, CA
  • NPI 1730339318
  NPD (past)
• Mark Anthony Franco, L.AC.

  • Acupuncturist
  • Panorama City, CA
  • NPI 1184801904
  NPD (past)
• Yuliya Karchemskaya, D.P.T.

  • Physical Therapist
  • Encino, CA
  • NPI 1457335580
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1033149745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 ANDASOL AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065412",
            "telephone_number": "818-830-5050",
            "fax_number": "818-830-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 ANDASOL AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065412",
            "telephone_number": "818-830-5050",
            "fax_number": "818-830-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC AQUATIC & PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "FARVILI",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-343-2073",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neimad Durham, B.S.
• Natalie Guadalupe Duron
• Kenard Durr
• DV Hospice & Palliative Care Inc
• Jennifer Keanne Dy
• Dynamic Diagnostic Imaging Center
• Dynamic Home Health Care Inc
• Dynasty Hospice and Palliative Care Inc
• Dynasty Hospice, Inc.
• Wendy Dytman, MFT

• Physical Therapist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.