Dynamic Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011955 Issued in NY

Legal business name

DYNAMIC PHYSICAL THERAPY P.C.

Practice address

936 Roosevelt St
Franklin Square, NY 11010-2938

Phone

(516) 355-0547

Fax

(516) 326-8251

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. John PJ Smith, PHYSICAL THERAPISTNPI 1578618823

Title

Director

Phone

(516) 355-0547

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• John Smith

  • Physical Therapist
  • Franklin Square, NY
  • NPI 1578618823
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Hadjiyane

  • Physical Therapist
  • Franklin Square, NY
  • NPI 1174678627
  Medicare reassignment Care Compare group NPD
• Pericles S Hadjiyane, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, NY
  • NPI 1750366449
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1053640904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 ROOSEVELT ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102938",
            "telephone_number": "516-355-0547",
            "fax_number": "516-326-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 ROOSEVELT ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102938",
            "telephone_number": "516-355-0547",
            "fax_number": "516-326-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PJ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-355-0547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011955",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Rachel R Kushner Dermatology PC
• Dr. Bonnie Corey, Global Chiropractic, PLLC
• Dr. Morgenstern Medical PLLC
• Dr. Persaud, DDS P.C
• Balwinder Kaur Dulku, RN
• Edward J. Halbridge, M.D., PC
• James B Ehrlein Jr., BSPHARM, PHARMD
• Nancy M Elbasty, MD
• Tamara Ellis
• Joanna Eng

• Physical Therapist in Franklin Square, NY
• Providers in Franklin Square, 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 May 14, 2010; 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.