Dynamic Strides Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC STRIDES THERAPY INC

Practice address

2673 E Sawyer Rd
Republic, MO 65738-7574

Phone

(479) 422-1183

Fax

(479) 202-8282

NPI assigned

Nov 1, 2016

Last updated

Jul 1, 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

Leah Copeland

Title

Credentialing

Phone

(479) 202-8282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 10

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.

• Hannah Cunningham, OTR, L

  • Pediatric Occupational Therapist
  • Republic, MO
  • NPI 1124777107
  Medicare reassignment
• Kerry Parnell

  • Occupational Therapist
  • Springfield, MO
  • NPI 1649758111
  Medicare reassignment
• Kaylee Kimmel Sisson

  • Speech-Language Pathologist
  • Republic, MO
  • NPI 1194451427
  Medicare reassignment
• Jennifer L Berryessa, COTA/L

  • Occupational Therapy Assistant
  • Republic, MO
  • NPI 1013788330
  NPD
• Tara Ecklund, PTA

  • Physical Therapy Assistant
  • Republic, MO
  • NPI 1376304428
  NPD
• Charlotte Kimber, OTR/L

  • Occupational Therapist
  • Republic, MO
  • NPI 1467697425

  Single Specialty

  NPD
• Amanda Kate Parsons, DPT

  • Pediatric Physical Therapist
  • Republic, MO
  • NPI 1962239459

  Pediatrics

  NPD
• Toby Leah Scott-Cross, MOT, OTRL

  • Occupational Therapist
  • Republic, MO
  • NPI 1841571809
  NPD
• Rachel Marie Lang

  • Occupational Therapist
  • Cedar Rapids, IA
  • NPI 1992533681
  NPD
• Corrina Stanfield

  • Speech-Language Pathologist
  • Springfield, MO
  • NPI 1902054208
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1104378561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 E SAWYER RD",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657387574",
            "telephone_number": "479-422-1183",
            "fax_number": "479-202-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 E SAWYER RD",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657387574",
            "telephone_number": "479-422-1183",
            "fax_number": "479-202-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC STRIDES THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "479-202-8282"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKay Knight Davis, MACL, LPC, CRADC
• Kimberly Dawn Dolan, LPC
• Haly Donaldson, PLPC
• Drew Consulting LLC
• Sadie Faith Dugger, PHARMD
• Tara Ecklund, PTA
• Edda Wellness, LLC
• Craig Brian Eden, FNP-BC
• Caleb Eggleston
• Kimberly Emery

• Physical Therapist in Republic, MO
• Providers in Republic, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.