Dynamic Physical Therapy and Sports Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DYNAMIC PHYSICAL THERAPY AND SPORTS REHAB

Practice address

5049 Broadway
New York, NY 10034-1131

Phone

(213) 884-5987

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Kinchin NonogNPI 1346617214

Title

Owner

Phone

(213) 884-5987

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kinchin Nonog

  • Physical Therapist
  • Mineola, NY
  • NPI 1346617214
  NPD Authorized official

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1053884379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341131",
            "telephone_number": "213-884-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "NONOG",
        "authorized_official_first_name": "KINCHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-884-5987"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamaids, Inc.
• Dynamic Health Chiropractic
• Dynamic Learning Services LLC
• Dynamic Medical Care PC
• Dynamic Mobility PT PC
• Dynamic Psychotherapy LCSW PLLC
• Dynamic Smile Dental PLLC
• Dynamic Transitions Psychological Consulting, LLP
• Dynasty Drug and Trading Inc (Polypharm Drug Company)
• Dynasty Medical Care, P.C.

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.