NPIMap

Organization Active NPI

Dynamx Physical Therapy, Inc. a Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Buana Park, CA
National Provider Identifier
1053755041
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
14473 Issued in CA
Legal business name
DYNAMX PHYSICAL THERAPY, INC. A PHYSICAL THERAPY CORPORATION
Practice address
7941 Beach Blvd.
Suite J
Buana Park, CA 90620-1900
Phone
(714) 736-6855
Fax
(714) 736-6824
NPI assigned
Apr 22, 2013
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mr. Nathaniel Glenn Dabatos, PT
Title
President
Phone
(818) 244-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 14473 CA Primary

Addresses

Primary practice location

7941 Beach Blvd.
Suite J
Buana Park, CA 90620-1900

Mailing address

333 E Glenoaks Blvd
Suite 204
Glendale, CA 91207-2074
Phone (818) 244-5656

National Provider Directory

National Provider Directory

Locations

7941 Beach Blvd
Ste J
Buena Park, CA 90620
Phone (714) 736-6855

333 E Glenoaks Blvd
Ste 20
Glendale, CA 91207

333 E Glenoaks Blvd
Ste 204
Glendale, CA 91207
Phone (310) 828-6454

5901 W Olympic Blvd
Ste 407
Los Angeles, CA 90036
Phone (323) 917-5194

2010 Huntington Dr
Ste C
San Marino, CA 91108
Phone (626) 234-2253

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1053755041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E GLENOAKS BLVD",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072074",
            "telephone_number": "818-244-5656",
            "fax_number": "818-244-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7941 BEACH BLVD.",
            "address_2": "SUITE J",
            "city": "BUANA PARK",
            "state": "CA",
            "postal_code": "906201900",
            "telephone_number": "714-736-6855",
            "fax_number": "714-736-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMX PHYSICAL THERAPY, INC. A PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "DABATOS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-244-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "14473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.