Dynamic Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22423 Issued in CA

Legal business name

DYNAMIC REHABILITATION

Practice address

28 Style Dr
Aliso Viejo, CA 92656-8090

Phone

(949) 300-1105

Fax

(949) 215-1961

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Ronaldo Elumba, MPTNPI 1932111820

Title

President

Phone

(949) 300-3423

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Joseph Ronaldo Elumba, MPT

  • Physical Therapist
  • Aliso Viejo, CA
  • NPI 1932111820
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Lee Marsh, O.T.

  • Physical Rehabilitation Occupational Therapist
  • Rowland Heights, CA
  • NPI 1417125295
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1043315161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 STYLE DR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926568090",
            "telephone_number": "949-300-1105",
            "fax_number": "949-215-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 STYLE DR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926568090",
            "telephone_number": "949-300-1105",
            "fax_number": "949-215-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "ELUMBA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RONALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-300-3423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22423",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT22423",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT22423",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22423",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "OT2859",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "OT2859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID",
            "identifier": "ZZZ69019Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Driving Angels of Southern California, LLC
• Haocheng Du
• Duong and Petchpud General Partnership
• Maclan Nguyen Duong
• Elizabeth Dyer, MD
• Janae Earley, RNC IBCLC
• Rana Eid
• Eilbert Medical Corporation
• Dima El-Khechen, M.S., C.G.C.
• George N Elias, M.D.

• Physical Therapist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.