Dynamics Walkagain Rehab Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DYNAMICS WALKAGAIN REHAB INC.

Practice address

1830 W Olympic Blvd
Ste 130
Los Angeles, CA 90006-3734

Phone

(213) 383-6860

Fax

(213) 383-6421

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter Sean, CPONPI 1326698937

Title

Chief Executive Officer

Phone

(213) 383-6860

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DYNAMICS SPINAL CORD REHAB UNIT Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Sean, CPO

  • Prosthetist
  • Los Angeles, CA
  • NPI 1326698937
  NPD Authorized official
• June Sean

  • Orthotic Fitter
  • Los Angeles, CA
  • NPI 1811547474
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1164564688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD STE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "213-383-6860",
            "fax_number": "213-383-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD",
            "address_2": "STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "213-383-6860",
            "fax_number": "213-383-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMICS WALKAGAIN REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "SEAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "213-383-6860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "GPT000880",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT000880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMICS SPINAL CORD REHAB UNIT",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DYNAMICS SPINAL CORD REHAB UNIT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexander Mitchell Dymond
• Dynamic Clinical Laboratories, Inc.
• Dynamic Health Labs
• Dynamic Interpreting LLC
• Dynamics Orthotics & Prosthetics, Inc.
• Dynasty Care Home Health, Inc.
• Dynasty Diagnostics
• Pamela I Dyne, MD
• Trina Dyson
• Dysphagia Solutions la Speech Pathology Inc

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.