NPIMap

Organization Active NPI

Dynamic Therapeutics, LLC

  • Mechanotherapist
  • Daphne, AL
National Provider Identifier
1134710270
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
Legal business name
DYNAMIC THERAPEUTICS, LLC
Practice address
9037 Independence Ave Ste A2
Daphne, AL 36526-7694
Phone
(251) 459-0500
NPI assigned
Feb 1, 2021
Last updated
Feb 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Tonya Dawn Butler, EDDNPI 1376021550
Title
Ceo
Phone
(251) 459-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X NU Primary

Addresses

Primary practice location

9037 Independence Ave Ste A2
Daphne, AL 36526-7694

Mailing address

9037 Independence Ave Ste A2
Daphne, AL 36526-7694
Phone (251) 459-0500

Other identifiers 1

IdentifierTypeStateIssuer
4208OtherALLICENSED MASSAGE THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dynamictherapeutics.net Direct

National Provider Directory

National Provider Directory

Locations

9037 Independence Ave
Ste A2
Daphne, AL 36526
Phone (251) 459-0500

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1134710270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9037 INDEPENDENCE AVE STE A2",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267694",
            "telephone_number": "251-459-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9037 INDEPENDENCE AVE STE A2",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267694",
            "telephone_number": "251-459-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-459-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "4208",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dynamictherapeutics.net",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9037 Independence Ave Ste A2",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365267694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

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