Organization Active NPI

Dynamic Physical Therapy & Rehabilitation, P.C.

  • Geriatric Physical Therapist
  • Bronx, NY
National Provider Identifier
1235261736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
015867 Issued in NY
Legal business name
DYNAMIC PHYSICAL THERAPY & REHABILITATION, P.C.
Practice address
2550 Webb Ave
11TH Floor
Bronx, NY 10468-3930
Phone
(718) 410-1302
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Clifford A Scott, P.T.
Title
President
Phone
(203) 618-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251G0304X 015867 NY Primary

Addresses

Primary practice location

2550 Webb Ave
11TH Floor
Bronx, NY 10468-3930

Mailing address

8 Grove St
Cos Cob, CT 06807-2018
Phone (203) 618-1372

National Provider Directory

National Provider Directory

Locations

2550 Webb Ave
Fl 11
Bronx, NY 10468
Phone (718) 410-1302

3 School St
Ste 204
Glen Cove, NY 11542
Phone (516) 567-6312

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235261736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GROVE ST",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072018",
            "telephone_number": "203-618-1372",
            "fax_number": "203-618-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WEBB AVE",
            "address_2": "11TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683930",
            "telephone_number": "718-410-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-618-1372",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "015867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.