Dynamx Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14473 Issued in CA

Legal business name

DYNAMX PHYSICAL THERAPY

Practice address

3033 W Orange Ave
Anaheim, CA 92804-3156

Phone

(714) 229-5649

Fax

(714) 229-5655

NPI assigned

Mar 14, 2013

Last updated

Mar 14, 2013By 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

Mr. Glenn Dabatos, PT

Title

Member

Phone

(818) 244-5656

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1144561192",
    "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": "3033 W ORANGE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043156",
            "telephone_number": "714-229-5649",
            "fax_number": "714-229-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMX PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "DABATOS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "818-244-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Dy
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• Joy Dye
• Tammy Louise Dye, LPT
• Christina Dyer
• E-ABA, LLC
• E-Solutions Medical Corp., a Professional Corporation
• Morgan Eagan
• Y-San Ean, D.C
• Kevin Ear

• Physical Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.