Dynamic Rehabilitation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DYNAMIC REHABILITATION

Doing business as

Pure Healthy Back

Practice address

1500 W Big Beaver Rd
Ste 150
Troy, MI 48084-3522

Phone

(248) 649-2323

Fax

(248) 649-5998

NPI assigned

Jun 24, 2006

Last updated

Oct 19, 2015By 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

Mark Szporka

Title

Cfo

Phone

(248) 649-2323

Specialties & licenses 1

Addresses

Other names 1

• Pure Healthy Back Doing business as

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1154357861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD",
            "address_2": "STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843522",
            "telephone_number": "248-649-2323",
            "fax_number": "248-649-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD",
            "address_2": "STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843522",
            "telephone_number": "248-649-2323",
            "fax_number": "248-649-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "SZPORKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "248-649-2323"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Healthy Back",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Takween Dwaik
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• Dynamic Dental Services, PLC
• Dynamic Physio
• Lauren Dysarz, DPT
• Andrea Eaddy
• Carra Eagen
• Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
• Rachel Renee Easton, FNP-BC

• Physical Medicine & Rehabilitation Physician in Troy, MI
• Providers in Troy, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.