Dynamic Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

DYNAMIC THERAPY SERVICES LLC

Doing business as

Dynamic Physical Therapy
Pivot Therapy of Mid Atlantic, LLC

Practice address

550 Stanton Christiana Rd Ste 203
Newark, DE 19713-2125

Phone

(302) 691-5603

Fax

(302) 691-5623

NPI assigned

Aug 25, 2017

Last updated

Dec 9, 2024By 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

Tasheda Broughton, PESC

Title

Manager, Credentialing

Phone

(252) 248-3313

Specialties & licenses 1

Addresses

Other names 2

• Dynamic Physical Therapy Doing business as
• Pivot Therapy of Mid Atlantic, LLC Doing business as

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1083131502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "252-248-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 STANTON CHRISTIANA RD STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132125",
            "telephone_number": "302-691-5603",
            "fax_number": "302-691-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "TASHEDA",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "252-248-3313",
        "authorized_official_credential": "PESC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pivot Therapy of Mid Atlantic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Dus
• Heather E Dusseau
• Janet G. Dutcher, NNP
• Pria Marie Dutt
• Elizabeth Dutweiler
• Tiffany M Dyson, PMHNP
• E Russell Ford MD PA
• Karen Earl, M.D.
• Catherine G Earnest, WHPN
• Kimberly L Eastburn

• Occupational Therapist in Newark, DE
• Providers in Newark, DE by specialty
• Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.