Dynamic Rehab P T PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC REHAB P T PC

Practice address

14905 79TH Ave
# 219
Kew Gardens Hills, NY 11367-3855

Phone

(973) 910-0307

NPI assigned

Aug 12, 2011

Last updated

Sep 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anatoli Yoshovayev, DPTNPI 1104095777

Title

President

Phone

(973) 910-0307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Anatoli Yoshovayev, P.T.

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1104095777

  NJ

  Medicare reassignment NPD Authorized official
• Liliana Yaritza Alcantara, LMT

  • Massage Therapist
  • Rutherford, NJ
  • NPI 1801541024
  NPD (past)

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1033498696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14905 79TH AVE",
            "address_2": "# 219",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113673855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14905 79TH AVE",
            "address_2": "# 219",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113673855",
            "telephone_number": "973-910-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB P T PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "YOSHOVAYEV",
        "authorized_official_first_name": "ANATOLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-910-0307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Chepets
• Gillian Tracy-Ann Christian, DPT
• Cygnificare PT, P.C.
• Barbara Anne Ditman
• Susan Drucker, MD
• Renee Cupidon Edouard
• Debra Ellis
• Yokasta M Espaillat, PT
• Judy R Feder, OTR/L
• Merrel B. Finkler, M.S.

• Physical Therapist in Kew Gardens Hills, NY
• Providers in Kew Gardens Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.