Dynamic Kids Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DYNAMIC KIDS PHYSICAL THERAPY, LLC

Practice address

2411 Arrow St
Rapid City, SD 57702-4303

Phone

(605) 593-6573

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By 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

Melissa C Hendricks, PT

Title

Owner

Phone

(605) 593-6573

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Melissa Cheryl Allen, DPT

  • Physical Therapist
  • Rapid City, SD
  • NPI 1366569980
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1205104254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 ARROW ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024303",
            "telephone_number": "605-593-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 ARROW ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024303",
            "telephone_number": "605-593-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC KIDS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-593-6573",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyer Enterprises, Inc (Home Instead Senior Care of the Black Hills)
• Kate Ellen Dyer, CNP
• Stephanie Dyer
• Aaron Douglas Dykstra, M.D.
• Anna Malena Waterland Dykstra, CNM
• Egon Dzintars
• Lesley Anne Dzintars, LPC-MH, QMHP
• Rita Dzintars
• Lori Ann Earles
• Karen Sue Easterwood, LPN

• Physical Therapy Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapy Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.