Dynamic Physical Therapy & Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC PHYSICAL THERAPY & REHABILITATION

Practice address

9789 Charlotte Hwy
Suite 500
Fort Mill, SC 29715-7177

Phone

(803) 548-5022

Fax

(803) 548-5023

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Tracy Carbonel

Title

Billing Manager

Phone

(864) 331-0919

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Joel N Baslot, PT

  • Physical Therapist
  • Marion, SC
  • NPI 1649450073
  NPD (past)
• Maria Fe M Piansay, PT

  • Physical Therapist
  • Florence, SC
  • NPI 1477787893
  NPD (past)
• Marvin Salamanca Sto Domingo, PT

  • Physical Therapist
  • Cheraw, SC
  • NPI 1467481143
  NPD (past)
• Micaela Angela Mendietta

  • Physical Therapist
  • Pensacola, FL
  • NPI 1487373544
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1164626925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1864",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296021864",
            "telephone_number": "864-331-0919",
            "fax_number": "864-331-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9789 CHARLOTTE HWY",
            "address_2": "SUITE 500",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157177",
            "telephone_number": "803-548-5022",
            "fax_number": "803-548-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "CARBONEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "864-331-0919"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick Duffy, DPT
• Natalie Dunn, CCC-SLP
• Adam Richard Dutson, O.D.
• Hilary Ann Dwyer, LPC-A
• Gina Dyer-Goss, MSN-FN
• Jean Ellen Earhart, LCSW
• Logan B Ebersold, DMD
• Edge Solutions Group, LLC Dba Americare Fort Mill
• Trisha Edge, MBA
• Edgewater Medical Center

• Physical Therapist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.